Imagine U Artist Information Form
Email address *
Email Confirmation *
Your answer
Parent First Name *
Your answer
Parent Last Name *
Your answer
Artist First Name *
Your answer
Artist Last Name *
Your answer
Artist's Birthday
MM
/
DD
/
YYYY
Street Address *
Your answer
City *
Your answer
Zip *
Your answer
Cell Phone *
Your answer
Secondary Cell Phone *
Your answer
Home Phone
Your answer
Do we have your permission to send you information via email/text? *
Generally one information message a month. We also will communicate via text if there are cancellations.
Emergency Contact *
Your answer
Emergency Contact- Phone *
Your answer
Allergies *
Required
Special Notes
Anything that may be helpful for us to know?
Your answer
Photo Video Release
Imagine U Studio may take photographs and/or video footage of artists in the studio as well as artists' pieces of artwork. We request your permission to use these images/footage in promotional material (including printed and online media, and websites) for Imagine U Studio and on social media. Do you give your permission for use of these images and footage of you and/or your artist?
Permission for Medical Treatment *
In the event of an emergency occurring while attending Imagine U Studio, I grant permission for actions deemed necessary for the protection of the artist. Should medical attention be required, I authorize an Imagine U Studio representative to give consent for medical treatment for my child.
Required
Studio Policy & Payment Options
Imagine U Studio charges $28 per month for 1 hour every other Saturday, $55 per month for 1 hour per week, and $105 per month for 2 hours per week. Monthly fees are due on the first lesson of the month. We accept cash, check, or debt/credit card. We also offer a monthly autodraft for your convenience. Please check below and we will contact you to set it up. ********************************* We are happy to offer opportunities to make up missed sessions at alternate times mutually agreed upon by Imagine U Studio and the artist/art parent. We will do our best to offer options at the time of cancellation, but the responsibility of confirming a makeup time lies on the artist/art parent.
THANK YOU!
Without your support, we wouldn't be able to spread our love of art and belief in the impact it can make in lives and communities!
We truly appreciate your support!
Questions or comments are welcomed! Give us a call at (815) 664-4060!
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