Registration: School-based Art Enrichment Classes

Welcome and thank you so much for registering your child to participate in our School-based Art Enrichment class! Please carefully read and provide the information below. Payment is due at the time of registration. Please look out for a confirmation email that will provide other tips and background information for the class itself. If you have any thoughts or questions, feel free to email info@chrysaliscraftclub.com and we will respond asap.

Parent/Guardian Name

First

Last

Primary phone number to contact with questions or in case of emergency.

First/last name and numbers of additional emergency contacts

Parent/Guardian Email(s)

Child's Name

First

Last

Preferred name if applicable (or write N/A)

Child's Birthday (month/day/year)

Pronouns

Child's School

Child's Homeroom Teacher & Grade level

($225/8-wk Write them

Please list any allergies or health info. to be aware of or write N/A. (This will remain confidential.)

Aside from parent/guardians and emergency contacts, please provide names of any other adults who may pick up your child. Please have them bring a photo ID for confirmation at pick-up, or write N/A

Please review the waiver information below. Write your name in the next box to signify that you are in agreement.

Participation Consent: I give permission for my child to participate in classes, workshops, camps, events, and enrichment experiences offered by Chrysalis Craft Club. Activities may include sensory play, arts & crafts, movement & music, fine motor exploration, seasonal themed activities, or collaborative play experiences. Assumption of Risk: I understand that children’s activities may involve normal childhood risks including slips, falls, bumps, contact with materials, or minor accidental injury. I voluntarily assume these ordinary risks on behalf of my child. Liability Release: To the fullest extent permitted by law, I release and hold harmless Chrysalis Craft Club, its owner, staff, assistants, and volunteers from claims arising from participation, except in cases of gross negligence or intentional misconduct. Wellness Policy: I agree to keep my child home if they are experiencing fever, vomiting, diarrhea, contagious illness, or symptoms that may place others at risk. Behavior & Safety Expectations: To maintain a peaceful and safe environment for all families, Chrysalis Craft Club reserves the right to dismiss participation when behavior creates an unsafe or disruptive setting. Photo/Media Consent: I understand that photos/videos of my child’s artwork or participation may be used for the website, social media, and/or promotional materials. Emergencies: In the event of an emergency I grant the teaching staff permission to take action on behalf of the child’s health and safety. Parents will be notified/conferred with asap. Acknowledgement: I certify that I am the parent/legal guardian of the child listed above and that I have read, understood, and voluntarily agree to this document. Payments/rescheduling: After the sign up period, if there are not enough participants to hold the class, a full refund will be given. If the teacher is unable to attend and must cancel a class due to illness, an emergency, weather conditions, or other safety reasons, a refund of $25 will be given. After registering, if you wish to cancel, you must email info@chrysaliscraftclub.com at least one week prior to the first class to receive a full refund.

Please view payment options below and make a payment ($225/8-wk class). Choose which option was used, prior to hitting submit on this form..

Feel free to share any additional comments or information to ensure a safe and enjoyable experience for your child.