Child's information

Medical Information

Does your child have any allergies or medical concerns?

Does your child have any special needs or are there any other accommodations we should be aware of?

Parent or guardian's information

Emergency contact information (if different)

Select your program:

Photo and video consent

We often take photos and videos during classes to document the activities and showcase our students' work. These images may be used on our website, social media, and other promotional materials. I give consent for my child to be photographed and/or video recorded during art classes:

By checking the box below, I acknowledge that I have read and understood the terms and conditions of Vera Kiss Art Studio and consent to my child’s participation in the art classes.

If there is any additional information you would like us to have, please leave it in the message box below.