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Hockaday Museum
of Art Class Registration Form
Please return completed
form and payment to:
Hockaday Museum of Art 302 2nd Ave E. Kalispell, MT
59901
Name of Student____________________________________________________ Age
_____________
Name of parent or guardian (if student is under 18)
__________________________________________
Hockaday Member? Yes _____ No ______
Mailing address: ______________________________________________________________________
Telephone: Home __________________ Cell __________________ Work_____________________
Email address ________________________________________________________________________
Health issues, if any ___________________________________________________________________
Emergency contact name and
phone:_____________________________________________________
Title of Class &
Dates
________________________________________________________
________________________________________________________
________________________________________________________ |
Cost
_____________________
_____________________
_____________________ |
Total: $ ________________ Payment method:
□ Cash □ Check □ Visa □
MasterCard □ Discover
Credit Card Number:
_________________________________________
Expiration Date: __________
Hockaday Museum of Art Education Department
Policies
You may pre-register for classes by calling 755-5268.
Place in class is guaranteed upon the Hockaday Museum’s receipt
of full payment for the class or series.
Hockaday Museum
Cancellation Policy: 100% refund, less $5 administrative fee
for cancellation 7 or more days in advance; 50% less $5
administrative fee for cancellation 2-6 days in advance. No
refund for cancellation less than 2 days in advance.
To ensure
the safety and well-being of participating children, the
Hockaday requires prior notice of children’s health issues,
emergency contact name, and contact telephone.
Art classes are always fun and sometimes messy! Please dress
accordingly.
Photo Release
(Please check below)
The Hockaday Museum of Art has my permission to use
photographs of me/my child taken in public view, and
photographs in which I/my child may appear. These
pictures may be reproduced in print or electronic media
specifically to promote the Hockaday Museum and its
programs without my prior inspection or approval of the
picture or accompanying text.
_____ YES to photo release above
_____ NO to photo release above
I understand and accept the policies & terms as stated
above
_____________________________________________________________________________________
(Signature of parent, guardian or participating adult) |