ART REGISTRATION INFORMATION

Marie Studios 1031 Union Heights, Hollister CA 95023

408-483-5020

Thank you for registering your child/children for Art Classes.

Waiver of Liability/Registration Form

2025 ART/DRAMA CLASSES

Download this Waiver of Liability/Registration Form

PLEASE MAIL OR DROP OFF THIS FORM TO:

Maria Studios, 1031 Union Heights, Hollister, CA 95023

MAKE CHECKS PAYABLE TO: Marie Studios

Or

Fill out the form carefully for registration

Child’s name

First Name

Last Name

What school does child attend?

Address:

Please list any medical problems

In case of emergency, who should be contacted?

Phone

(###)

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Name of person who is authorized to pick up your child:

Cell or Work Telephone:

(###)

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Parent/Guardian Email address :

Please Note: If your child feels sick or runs a fever, please do not bring him/her to class. Every child must wear a mask inside the building. Hand sanitizers and hand wash items are available. Due to various childhood allergies, snacks and other items must be brought from home.

I agree

I don't agree

I certify that the participating child is in good physical and mental health and has no pre-existing medical conditions or health barriers to participation. I am aware that Marie Studios, takes care but cannot protect your child from any unforeseen situation. With my signature, I release and hold harmless Marie Studios and its family members, and its representatives, officers, agents and employees, and all other persons and entities associated with the Marie Studios from any and all injuries or damage from any claims or causes of action whatever for any loss or injury suffered by the participant and his/her friends and families. I grant full permission to use the above participant’s photograph in videos, publications, motion pictures, recordings, or other records of events. I understand that reasonable care will be provided to the participant in the event of injury or illness during any Art activity; and authorize emergency medical care or transportation should it be needed. I have read and fully understand the above statements, and certify that, as parent or guardian for the above child; all registration and release information provided is true.

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