Name: Stained Glass Sunrise Panel
Start: 2021-02-02T17:30:00+00:00
End: 2021-02-02T19:30:00+00:00
Location: 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^*

Arts Center Art Camps (Completed Grades 2nd- 5th)

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
The Colquitt County Arts Center will not assume responsibility for any injury incurred while participating in any program or event, nor will the Colquitt County Arts Center be liable for lost or stolen items while members and/or program participants are using Arts Center facilities or are on the premises or participating in an off-site event representing the Colquitt County Arts Center. I give my permission for the Colquitt County Arts Center to conduct any necessary measure regarding the health of my child or myself in case of emergency.

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 appropriate by the staff of the Colquitt County Arts Center.

Parent/Guardian Signature for Student^*

Initial^*

Date^*

* 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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Sign up for classes and workshops by downloading the pdf below. The form can be turned in at our office with payment at the Colquitt County Arts Center between 10 am – 5:30 pm Monday – Friday.

401 7th Avenue S.W.
Moultrie GA 31768.
229-985-1922

Sign Up for Classes

Class Registration Form

Class Registration Form

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