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 Museumís 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 childrenís 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)