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Is this your first class at the Art Station? Yes        No
Are you a member of Arts Central? Yes        No
  (Membership verification is necessary to receive the 15% discount. note: Picasso members are not eligible.) Don't remember your member level? Please call to confirm: 541.617.1317
Select your Member level
   
Would you like to register yourself for a class? Yes        No, I'd like to register kids or another person(s)
   
Liability, Medical & Photo Release  
Liability Release: I, the participant or the parent/guardian of the above named participant, understand the possibility of injuries resulting from the activities listed above. I hereby acknowledge and accept all risks incidental to participation in such activities. I hereby release, absolve, indemnify and hold harmless Arts Central and its directors, employees and agents.

Medical Release: I understand there is no medical insurance coverage provided by Arts Central for participants. I hereby consent to emergency medical treatment of participant to ensure prompt treatment.
Photo Release: I consent and authorize Arts Central to take photos and video of participant and artwork for education and publicity purposes.

Payment of fees and participation in program shall constitute acceptance of this liability, medical and publicity release.
I agree        No