Young Artist Studio- (Tuesday Sept 15th) All Kinds of Clay

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This class is designed for students ages 11 and under

Parent/Guardian name *

Email Address (for parent/guardian)

Phone Number (for parent/guardian) *

Student Name(s) and Age(s)

For supervision purposes, *

I understand that a parent/guardian will need to remain on site during this class.

Required

I understand there is a $5 fee for each class. I will pay the fee at the AVA Art Center on the day of class. *

yes

Are you a resident of any of the following facilities?: Park View Apartments, Pebble Ridge Apartments, First Avenue Apartments, Lincoln Street Apartments, The Depot, Colonial Place Apartments, Charlotte Court Apartments, Aspen Village on Hogan Street?

yes

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Are you requesting a waiver for this class fee based on the previous question?

Yes

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Do you require any assistance or accommodations to help you comfortably access the building or participate in the class? Please let us know if you have any mobility concerns or other needs so we can ensure a positive experience for you.

Would you like to be added to our newsletter list?

Yes

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I authorize the use of my photograph/media for, but not limited to, publication on the internet, magazines, journals, books, articles, social media, etc. provided that it is done for lawful purposes.

Yes

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