Register for Classes - Colquitt County Arts Center

Student Name^*

Age^*

Grade^*

School^*

Parent/Guardian^*

Mailing Address^*

Home/Cell Phone Number^*

Work Phone Number

Contact in Case of Emergency^*

Emergency Contact Phone Number^*

Special Medical Information/Allergies^*

Email^*

Please list date and time of your class

Cartoon Class

Cartoon Class ($ 50.00)

Youth Art Classes

Adult Art Class

Ceramics

Stained Glass

Stained Glass ($ 35.00)

Dance Classes

Music Lessons

Disorderly Conduct Policy
The Arts Center reserves the right to dismiss a student due to disorderly behavior. No refunds will be made if a student is dismissed for disciplinary reasons.

Medical Release

By signing this form as attending, I acknowledge that the Arts Center will not assume any responsibility for any injury incurred while participating in any program or event or liable for lost or stolen items while on the Arts Center's grounds.

Media Release

I understand photographers and / or television crews will sometimes be present photographing or filming the Colquitt County Arts Center's classes, rehearsals, lessons, and / or performances. I give my permission for resulting photographs, and / or television footage, which may include my child, to be used for promotional purposes on television, or in newspapers, magazines or any other media deemed appropriate by the staff of the Colquitt County Arts Center.

Date^*

Parent/Guardian Signature for Student^*

* Only Paypal payments are accepted. Please make sure you have an account with an attached card before making a payment.

* Credit, Debit, Check and Cash payments can be made in the main office open M-F 10 am - 5:30 pm.

*Payments are non refundable. If there are extenuating circumstances please notify us.

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Download Class Registration Form

Colquitt County Arts Center
401 7th Avenue S.W.
Moultrie, GA 31768

Monday – Friday | 10 AM – 5:30 PM

Have a question?
Call 229-985-1922

Download Class Registration Form

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