Registration: Chrysalis Studio Classes

Thank you so much for registering for a class offered at our home studio in Howard County’s Elkridge, MD! It is a joy to welcome your family. Please note the pricing of each class option listed on the “Select Choice” question. Payments are due at the time of registration. We are so excited to see imaginations and creativity take flight!

Parent / Guardian Name

First

Last

Parent / Guardian Contact Number

Parent / Guardian Email

Confirm Email

Child’s Name

First

Last

Child’s Date of Birth

Names / Date of birth of any siblings that you would like to register for the same class.

If none, please type N/A

Any known allergies or health info. to be aware of:

birth and of

Which class would you like to register for? (Note 4-week session or Drop-in options)

For 4 week session, please specify the Month, Day, and Time that you would like to join or write N/A if you plan to participate in a drop-in class(es)

For a Drop-in Class, please specify the Month(s), Day(s), and Time(s) for which you’d like to register, or write N/A if you are signing up for a 4-week session.

Please review all waiver information listed below and write your name in the 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: If the teacher must cancel a class due illness, an emergency, weather, or other safety reasons, a refund for the individual class will be given. All payments are due within two days or receiving the confirmation email. 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. Thank you!

Please view payment options below and make a payment. Choose which option was used, prior to hitting submit on this form.