Home
About
Programs
Mini Monets
Dabblers
Makers
Studio Celebrations
Register
Register
Registration Forms
Contact
Cart
Please enable JavaScript in your browser to complete this form.
Please enable JavaScript in your browser to complete this form.
Artist's Name
*
First
Last
Please fill in the info for the child that will be participating in this class. Each child under 18 years old must have a completed registration form, even if they are under 18 months old. If you are registering for an adult class, please use your name.
Class(es) You Are Enrolling In:
*
Mini Monets
Monthly Minis
Dabblers
Makers
Creators
Messy Moms
Family Days
Mini Monets
*
Fall 1
Fall 2
Holiday Pop-ups
Winter 1
Winter 2
Spring 1
Spring 2
Monthly Minis
*
October: Spooky Ooky
November: Give Thanks
December: Gingerbread
January: Snow Day
February: Love Hearts
March: Dinosaurs
April: Rain & Rainbows
May: Under the Sea
Make & Music
Club Messy: Dabblers
*
Fall
Winter
Spring
Holiday Pop-up
Club Messy: Makers
*
Fall
Winter
Spring
Holiday Pop-up
Club Messy: Creators
*
Fall
Winter
Spring
Holiday Pop-up
Parent's/Guardian's Name
*
First
Last
Parent/Guardian Contact Phone
*
Parent/Guardian Contact Email
*
Email
Confirm Email
Address
*
Address Line 1
Address Line 2
City
— Select state —
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Artist's Date of Birth
*
MM
1
2
3
4
5
6
7
8
9
10
11
12
DD
1
2
3
4
5
6
7
8
9
10
11
12
13
14
15
16
17
18
19
20
21
22
23
24
25
26
27
28
29
30
31
YYYY
2027
2026
2025
2024
2023
2022
2021
2020
2019
2018
2017
2016
2015
2014
2013
2012
2011
2010
2009
2008
2007
2006
2005
2004
2003
2002
2001
2000
1999
1998
1997
1996
1995
1994
1993
1992
1991
1990
1989
1988
1987
1986
1985
1984
1983
1982
1981
1980
1979
1978
1977
1976
1975
1974
1973
1972
1971
1970
1969
1968
1967
1966
1965
1964
1963
1962
1961
1960
1959
1958
1957
1956
1955
1954
1953
1952
1951
1950
1949
1948
1947
1946
1945
1944
1943
1942
1941
1940
1939
1938
1937
1936
1935
1934
1933
1932
1931
1930
1929
1928
1927
1926
1925
1924
1923
1922
1921
1920
Artist's Grade Level
*
— Select Choice —
FREE Infant (under 18M)
Toddler (18M-3)
Pre-school (4-5)
Kindergarten
1st
2nd
3rd
4th
5th
6th
Artist's Gender
*
Male
Female
Prefer Not to Disclose
Does the Artist Have Any Allergies?
*
No
Yes
Allergy List
*
Relevant Medical Information
Emergency Contact:
*
First
Last
Relationship to the Artist:
*
Emergency Contact's Phone
*
General Acknowledgement of Participation in Class
*
Yes, I give permission for my child to participate at Messy Monets for the session dates that I am enrolling them in. By giving this consent, I understand that my child will be using various forms of arts and crafts materials, (such as but not limited to: paint, glue, beads, clay, scissors, paper, and more) and that Messy Monets is not liable for any injury or death that may occur from use of arts and crafts materials.
Safety and Behavioral Acknowledgement
*
I acknowledge that the safety of all of the Messy Monets’ students/participants comes first and if my child’s behavior compromises that safety, that I may be asked to remove my child prior to the scheduled end time. I understand that in severe behavioral cases, Messy Monets maintains the right to request that my child not return to future classes if the safety of the group is put at risk. Any refunds will be at the discretion of Messy Monets.
Photography and Videography Consent
*
Yes, you may use images and videos of my child as Messy Monets sees fit including but not limited to social media, website, and future marketing purposes.
No, you may not use images and videos of my child.
*Messy Monets reserves the right to take pictures and/or video recordings during camps, classes, and all events at our studios. Messy Monets is not responsible for the distribution or use of any images or videos that your child might be in taken by other class participants.
Allergy Acknowldegement
*
I acknowledge that any allergy information that may be necessary in regards to this class has been disclosed in the appropriate place in my child’s registration. I confirm that Messy Monets will not be held responsible for any allergic reactions my child may have outside of the information I have listed in their registration.
*Messy Monets will do our best to avoid common allergens and toxic ingredients, but please be aware that art products such as paint, glue, and soap can be irritating to the skin. Please inform Messy Monets if any reaction does occur and we will work to replace said item if able.
Clothing Policy
*
I acknowledge that Messy Monets is not responsible for any lost, stolen, or damaged personal items brought into the Chestnut Center or Messy Monets studio space. This includes any damage or stains that may occur on clothing from use of art and craft materials being used in the studio.
*Messy Monets has aprons available in children’s sizes. Adults are welcome to bring their own aprons when participating in classes. It is advised to have your child wear “paint clothes” or clothing that you don’t mind being ruined.
Food and Drink Policy
*
Yes, my child may have any treats or snacks that Messy Monets brings in as part of that day’s lessons.
No, my child may NOT have any treats or snacks that Messy Monets brings in as part of that day’s lessons.
*Messy Monets does not generally allow any eating or drinking in the studio to prevent any damage to artwork or accidental ingestion of non-food items. Please consume snacks outside of the studio space before or after class. Participants are allowed to bring a beverage in a closed container and keep it in the hall.
Parent Participation Policy
*
I acknowledge that a parent or trusted adult must be present if my child is under the age of 5 (Kindergarten grade level) and must actively participate in the class with the enrolled child to aide them in the projects and prevent any accidents or injuries with close, one-on-one supervision. I understand that I will be asked to bring a second adult if I have more than two children (enrolled or not) in the studio under my direct supervision.
*Messy Monets does our best to make class fun, engaging, and age appropriate for toddlers and preschoolers, but some of the activities will still require help from grown-ups. We understand that not everyone has access to additional childcare, and because of this children under 18 months old are welcome to come along with their parent and older sibling free of charge, but for safety and supervision we ask that parents not have more than two children in the studio without another adult helper along.
Drink Artist's Phone
Signature
Please type your Name (first and last) and today’s date to signify that you have read the above statements and consent to your child participating at Messy Monets. If you have any questions or concerns please reach out via email: studio@messymonets.com.
Date (mm/dd/yyyy)
Submit
Use Code: FULLMESS to save when registering for all 3 Mini Monets Summer Camps!
Dismiss
$
0.00
(0 items)
0
0
No products in the cart.