T. W. Wood Gallery - Children and Families Classes - 2019-2020 Schedule.
Register for all Children and Family Classes and Day Camps here!
Please note that After School Arts has its own registration form on the gallery's website.
For any questions / comments please contact the Gallery:
T.W. Wood Gallery; 46 Barre St., Montpelier, VT 05602; in the Center for Arts & Learning; 802-262-6035;
Email: info@twwoodgallery.org; Website: www.twwoodgallery.org
Email address *
Parent or Guardian Name (1): *
Your answer
Parent or Guardian Name (2):
Your answer
Student 1 Name: *
Your answer
Student 1 Birthdate: *
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Student 1 Grade: *
Your answer
Student M/F: *
Student 2 Name:
Your answer
Student 2 Birthdate:
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Student 2 Grade:
Your answer
Student 2 M/F:
Address Information:
Street: *
Your answer
Street 2:
Your answer
Town: *
Your answer
State: *
Required
Zip Code *
Your answer
Phone # 1 *
Your answer
Phone # 1 - Cell
Your answer
Phone # 2
Your answer
Phone # 2 - Cell
Your answer
Art Day Camps - Oct 11, Oct 14, Nov 25, Nov 26, Nov 27, Nov 29 - Camp is 9am - 3pm, AfterCare Available 3-5pm - Cost $55 ($50 members) Aftercare $15
Art Day Camps - Check the courses you would like!
After Care
Saturday Family Art Time - September 28, October 26, November 23, December 1:00 - 3:00 pm - Cost $25 per child, $10 additional sibling, 3rd sibling free.
Saturday Family Art Time Sessions Registration - Check the courses you would like!
Teen Art Night! - November 8, 5 - 8pm - Teens are invited to join us for pizza and art making! - 8th grade and up - $25
Register Below for Teen Art Night!
Dungeons & Dragons Club with Ben t. Matchstick - September 16 - Dec 16 - Mondays 3-5pm, Ages 9-14, Cost - $210 ($200 for members)
Register below for Dungeons & Dragons
RELEASE: I hereby give permission for my child to participate in the TW Wood Gallery - Children and Family Arts Programs. I assume all risks and hazards, incidental to such participation. I hereby waive, release, absolve, indemnify, and agree to hold harmless the T. W. Wood Gallery and the Children and Family Arts Program, their officers, agents, officials, employees, volunteers, the organizers, sponsors, supervisors and participants for any claim arising out of an injury to my child. *
Medical Care Permission:
Attention: So we may best serve all students, if a child has a dedicated one-on-one para professional assisting during the regular school year, please arrange for the full-time aide to similarly assist during any Children and Family Programming.
The T.W. Wood Gallery Afterschool Arts staff has my permission, in an emergency, to obtain medical care for student 1 (Checking YES confirms authorization): *
Required
The T.W. Wood Gallery Afterschool Arts staff has my permission, in an emergency, to obtain medical care for student 2(Checking YES confirms authorization): *
Required
Please list any food allergies, medical requirement or restrictions (write None if there are not any issues)I agree to notify the TW Wood Gallery if there are any changes in medical information: *
Your answer
Please list Emergency Contacts by preference and how to reach quickly by phone.
Your answer
Please list children's doctor and contact information.
Your answer
MEDICAL RELEASE: I authorize The T. W. Wood Gallery and their Children and Family Programs to act in the place of parents or guardians of the student should any emergency medical or surgical treatment or hospitalization be required during the time this student is enrolled in the Program. It is understood that the Program and hospital authorities will make every effort to contact the parents or the Emergency Contact below before acting on this authorization. *
T.W. Wood Student Transportation Information:
This information pertains to walking, biking home independently or if another person(s) has permission for pick up.
Please authorize if your child(ren) are permitted to walk or bike home independently. *
Required
Please authorize other people allowed to pick up for child(ren) at the end of the day (if no one, write None):
Your answer
If offered, would you like your child to be walked by an adult from school to the gallery for a small additional fee? *
T.W. Wood Photography of Afterschool Arts:
Please authorize if the gallery can take photographs/video of my child(ren) during Children and Family Programming for archival, publicity and social media purposes: *
Required
Payment via: *
Credit Card Payment : enter credit card number, full name on card, date, 3 digit security code. Or optionally - call the gallery to provide information via phone or in person. (Please submit form for whichever method you choose)
Your answer
Thank you! We look forward to Children and Family Programming with you!
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