Class Registration Form "*" indicates required fields Student Full Name* First Name Last Name Date of Birth* MM slash DD slash YYYY Parents Names (If you are under 18) First Name Phone*Email* Address* Street Address City State StateAlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Your ReferralAllergies*Any Other InfoBring a friend and get 15% off Bring a friend (15% off) Full Name*Email*Phone Number*Emergency Contact InformationFull Name* Full Name Phone*Relationship*Full Name* Full Name Phone*Relationship*Niusha Art Studio Policy Month to month program features fine art projects in an array of mediums. Students will advance their skills & find their individual voice by creating unique pieces of artwork that fit. within the parameters of each lesson. Students will be challenged in advanced techniques & encouraged to try new mediums.Monthly Payments Kids: Classes are $220 per month and included 4 sessions of 1 hour per month. Teens: Classes are $230 per month and included 4 sessions of 1:15 minutes per month. Adults: Classes are $240 per month and included 4 sessions of 1:30 minutes per month. Online: Classes are $175 per month and included 4 sessions of 1 hour per month. - Full payment is required the first week of each month.Photographs and Recordings Photographs and Recordings classes, events, parties & workshops for adults, teens & children may be recorded & photographed for photographers and Niusha’s own reference such as, but not limited to marketing, website, and social media. Such recording or photographing may include pictures of the attendees, individuals at our program, class participants & students work.Consent* Check here for your approval of photography and recording at any class, party, or event at Niusha Art Studio. Credit and Refunds Refunds are not available. Makeup classes may only be utilized within the months for which payment has been made. July classes are specifically designated for use during the July semester and not be carried over into the December semester.Privet Events Private parties are based on availability & advanced appointment only. Collect a non-refundable 50% deposit to hold parties date & time. Full payment is due at the parties end. Children’s parties are 2 hours long & adult parties are 3 hours long, parties that exceed the allotted time may incur extra charges. Hue Studio Arts Inc. requires a headcount 24 hours in advance to adequately prepare for event. If you need to cancel your private event, please give as much notice as possible.DROP OFF/ PICK UP Policy: Drop off and pick up time should be on time and accurate. Niusha Gallery is not responsible for any & all injuries, illness, medical conditions, claims, liabilities, damages, expenses or judgments before during and after the class time. Please Check that you agree and initial it.Consent* I authorize Niusha Gallery to send alerts/communications to my cell phone and/or personal email address as provided above, or any updated cell phone numbers and email addresses I provide going forward. I understand that these alerts/messages are for my benefit and for my convenience. I also understand that message and data rates associated with these alerts/communications may apply. I understand that I may revoke my consent at any time by following the Editing Consent and Contact Niusha Gallery. I AGREE To Terms & Policies, and consent to the use of email/phone communicationsSignature*Initial*Date* MM slash DD slash YYYY Discount CodeChoose payment method below*A 4.5% fee will be applied to all of your Credit Card Transactions. Credit Card Zelle Art Class (CC prices)*Online ClassKids Art ClassTeens Art ClassAdults Art ClassArt Class*Online ClassKids Art ClassTeens Art ClassAdults Art ClassTip Total Credit Card This field is hidden when viewing the formUntitled First Choice Second Choice Third Choice
