Design Class Registration
Mentoring Students Towards their Artistic Dreams
You can make payment in the studio or online. A receipt will be sent to your email within 2 days of registering. If you prefer to pay in person, we accept cheques and cash.
Which class time/day would you like to enroll in? *
What date would you want to get started? *
Student First Name *
Student Last Name *
Date of Birth *
Gender *
Student School Email *
Any Allergies? *
If yes, please specify.
Has the student ever had art lessons before? Please specify. *
For 12+ Design Class, Is the teen creating a portfolio for University? If so, for what program?
What is your child/teen interested in learning and developing?
Parent Full Name *
Primary Phone Number *
Secondary Phone Number
Parent Email *
Emergency Contact Name *
Emergency Contact Number *
Street Address *
City *
Postal Code *
Province (2 letters) *
Would you like to join our email list? (Monthly Art lessons to do from home, Art Tips) *
Payment Options *
How did you learn about us? *
Art Package Option: *
Please pay your balance within 7 days upon date of invoice. We require full payment in order to reserve a space in class. We will charge a 5% late fee for every unpaid week following. Please note we require 24 hours advance notice for missed classes in order to schedule a make-up class. Please note that all sales are final but class credits may be exchanged for another program or postponed without expiry.
I have read and agree to the Terms: *
Social Media Consent: We sometimes take pictures of students and their artistic creations and post the pictures to our Instagram, Twitter and Facebook pages. *
Feel free to write comments you want us to know!
Never submit passwords through Google Forms.
This form was created inside of Creative Genius Art Academy. Report Abuse