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Jenny T.
Artist, Art Teacher, Certified in Therapeutic Art | Prescott, Arizona
Jenny T.
One on One
Art in Nature
Kids Classes
Grown-Up Classes
Contact Me
Shop
Jenny T.
Artist, Art Teacher, Certified in Therapeutic Art
Prescott, Arizona
One-on-One Art Sessions
Contact Me… Jenny T.
Photo Gallery
Art Session Consent Form
Consent Form
Name of Student
*
Please list any allergies or special considerations we may need to be aware of:
Name of Parent or Guardian
Parent/Guardian
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Parent/Guardian
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Email
*
Phone
*
Emergency Contact
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Emergency Contact
Emergency Contact
Emergency Contact
Emergency Contact Phone
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Please review and check each box below for liability and consent of services with Jenny T.
Parental Consent (required for students under 18)
*
By checking this box I agree to the following: As guardian and/or parent, I understand that I assume full responsibility for my child’s arrival and departure to and from Jenny T. I understand that Jenny T. shall bear no responsibility for the means by which my child arrives at or departs each Activity.
Liability Agreement (required)
*
By checking this box I agree to the following: In consideration for being allowed to participate in this Activity, I release from liability and waive my right to any legal action to Jennifer Tomasovitch, or her employees, contractors, volunteers and students from any and all claims, including negligence, resulting in any physical injury, illness (including death) or economic loss I may suffer or which may result from my participation in this Activity, travel to and from the Activity, or any events incidental to this Activity.
Right to Refuse Service (required)
*
By checking this box I agree to the following: I understand that Jenny T. reserves the right to dismiss me from this Activity and all association with Jenny T. for reasons such as, but not limited to, signs of illness, disruptive or unsafe behavior, behavior unsuitable for the comfort of the classroom environment, or poor performance at the sole discretion of Jenny T.
Photography Release (required)
*
By checking this box I agree to the following: I consent to and authorize the use and reproduction by Jenny T. or anyone authorized by Jenny T. of any and all photographs that have been taken of me (if Student) or my child without compensation to me. All photo images are owned by Jenny T. Jenny T. reserves the right to use these photographs in any of its print or electronic publications. I hereby acknowledge that I have read and understood the terms of this release.
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