General Class Enrollment Form

Billing Recipient First Name

Billing Recipient Last name

Participant's Name & Age

Email

Is this your first time with us?

Yes

No

Phone

Address

School of attendance if applicable

I have read the Liability terms of agreement and understand Artistry in Motion is not liable for any injuries or illnesses that could occur before, during or after an activity associated with this company and that participation is at individual's own risk

I understand any left behind or stolen items are at individual's own accord and not a liability of Artistry in Motion and it's affiliations

I approve for me and or my family members to take part in photos and videos that may be used for future marketing purposes.

Please list any allergens, restrictions or concerns the instructor should be aware of if any

Signature Agreement

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I'm interested in receiving info about class/credit trade through volunteer work as well as paid job openings.

Yes