Scrap U & Artistry Too
Home
About
>
Staff
Photos
Client Reviews/Testimonials
Employment Opportunities
Studio FAQs
Programs
Programs
School's Out Art Camp
DIY Open Art Studio
Girl Scouts
Calendar
Parties & Events
Parties & Events
Party FAQs
Scrap U for Hire
Summer Camp 2024
Required Forms
Child's Emergency Form
Art with Care Special Needs Profile
Sewing Lessons Questionnaire
Gift Card
Contact
Contests
Media
How-To Art Tutorials
Shop Art Supplies!
Child's Emergency Form & Profile
Instructions: A profile form is required to be on file for all child participants. All children
new
to our studio must submit this information prior to attending first class. Existing students of the studio may submit a new form as information changes. We may require an updated form once per year. Thank you!
Adult Information
*
Indicates required field
List the name of the adult completing this form.
*
First
Last
Address
*
City, State, Zip
*
How did you hear about us?
*
Cell Phone Number
*
Alternate Telephone Number
*
Email
*
Child
Participating
Child 1 Name
*
Child 1 Age
*
Child 1 Grade
*
Child 1 Gender
*
Option
Female
Male
Child's Emergency Contacts
In the event of an emergency and you cannot be reached, please list the names of those you'd like us to contact. This should also be someone who can pick your child up from class. ID will be required at time of pick up.
Name
*
First
Last
[object Object]
Name
*
First
Last
Phone Number
*
Phone Number
*
Name
*
First
Last
Phone Number
*
Attendance Policy
We are happy to provide you with the number of classes you register for. However, classes will be forfeited if you are absent on your own accord. In the event that you need to miss a class or lesson, please call or email us at least 4 hours prior to the class. On the occasion that we have to cancel a class due to teacher illness, weather, or family emergency, we will notify you via e-mail, unless another form of contact is requested and a class extension will be scheduled.
Agreement of Attendance Policy
*
I agree
Release of Liability and Media Release Policy
I/We, the parent(s)/guardian(s), in case of injury or accident of any kind at Scrap U & Artistry Too, LLC agree to not hold Scrap U & Artistry Too, LLC nor any of its employees or volunteers liable for its occurrence. I hereby release Scrap U & Artistry Too, LLC and its employees and volunteers from all claims or damage which may arise out of any loss or personal injury to my child while participating in Scrap U & Artistry Too, LLC programs. I hereby give Scrap U & Artistry Too, LLC permission to use images/video taken of my child in this program for future or promotional activities.
Please enter your initials below.
*
Medical Information
Is your child fully vaccinated against Covid-19?
*
Yes & Boosted
Vaccinated but not Boosted
No
Does Your Child have any allergies?
*
Yes
No
If you answered "Yes", please list allergies below.
*
Does your child carry an EpiPen? If you answered "YES", please download and complete the Medication Form under the "Forms" tab and return to the staff on the first day of class.
*
Option
Yes
No
Does your child take medication?
*
Yes
No
If you answered "YES", please list medication below, otherwise write "NONE:
*
Please Initial Below
*
Does your child have an IEP or 504 Plan?
*
Yes
No
Please explain.
Does your child have any special needs?
*
Yes
No
If you replied "YES", please share if your child has a diagnosis and/or any other information that is relevant to support them. Otherwise write "NONE"
*
Please Initial Below
*
Submit
Home
About
>
Staff
Photos
Client Reviews/Testimonials
Employment Opportunities
Studio FAQs
Programs
Programs
School's Out Art Camp
DIY Open Art Studio
Girl Scouts
Calendar
Parties & Events
Parties & Events
Party FAQs
Scrap U for Hire
Summer Camp 2024
Required Forms
Child's Emergency Form
Art with Care Special Needs Profile
Sewing Lessons Questionnaire
Gift Card
Contact
Contests
Media
How-To Art Tutorials
Shop Art Supplies!
UA-114681769-1