Your Name *

First Name

Last Name

Phone in case of emergency *

(###)

###

####

Child's Name if applicable

First Name

Last Name

date(s) attending *

MM

DD

YYYY

Release *

BY CHECKING BOX, I agree to the policies and procedures of Do Art Daily LLC http://www.doartdaily.com/policies-and-procedures/

late pick-up policy if dropping off child *

put n/a if this does not apply to you

Agreement *

I will not attend or bring my child to any activity if I/he/she/them is showing any signs of illness or if someone in our household has signs of illness.