Name (Student 1) *

First Name

Last Name

Name (Student 2)

First Name

Last Name

Phone *

(###)

###

####

Media Release *

I give my permission to use my child's photo and video for the Sculpture School website.

Yes

No

Cancellation Policy *

Cancellations within 30 days of the start of a program can only be refunded (minus a credit card transaction fee of 2.9%) if another student can be found to fill the spot.

I understand and agree to the terms