Registration


Event:
Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Let's Get to Know You!
First Name:* Last Name: *
Type*
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
 
Address: *
City: * State: * Zip: *
Emergency Contact Info (Not Contact #1 or #2)*
 
 
Students entered below will be added to your family's account
 
Questions/Options:
If you know which Dixie Belle Silk Paint colors you'd like to use, let us know here. You can check out the color options online @ https://dixiebellpaint.com/shop/paint/silk-all-in-one-mineral-paint/
 
Additional Information:
 
Paint Selection
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I've read the above and agree.
 
Arrival
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Registration/Payment Policy
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I've read the above and agree.
 
Assumption of Risk
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I've read the above and agree.
 
Cancellation Policy
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Photo Release
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Age Requirement
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Enter your Full Name: *   
 
Other Questions/Comments:
 
Credit Card Verification: