Art Studio - Request to Register

Please be aware that completing this form does not ensure you are registered yet. You will be registered in the event that the class or workshop is not full, and that your form is received before the due date. Either way we'll be in touch with more information!

Which class/workshop are you requesting registration for?*
Your Name*
First Last
Your Email*
Your Phone Number*
Participants
Let us know who's all coming to the class/workshop!
Who are you registering?*
How many other people are you registering and paying for?*
(If you are registering 4+ other people, please call our reception at 604-283-7827 ext. 0 and we'll help you register over the phone.)
Participant #1 Name*
First Last
Participant #1 Email*
If this participant is a child, please provide their parent's or guardian's email.
Participant #1 Phone*
If this participant is a child, please provide their parent's or guardian's phone.
Participant #2 Name*
First Last
Participant #2 Email*
If this participant is a child, please provide their parent's or guardian's email.
Participant #2 Phone*
If this participant is a child, please provide their parent's or guardian's phone.
Participant #3 Name*
First Last
Participant #3 Email*
If this participant is a child, please provide their parent's or guardian's email.
Participant #3 Phone*
If this participant is a child, please provide their parent's or guardian's phone.
Payment
Online registration for classes and workshops must be paid for by credit card. Please refer to the corresponding workshop or class webpage to find the cost. If you would like to pay using an alternate payment method, please contact our reception at 604-284-7827 ext. 0.
Cardholder Name*
First Last
Account Type*
Account Number*
Expiration Date*
Please enter "01" for the expiration day. Thanks!
Year
Month
DD
3 Digit Security Code*
You can typically find this number on the back of your credit card.
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Consent*
I understand that my credit card will be charged for all participants included in this form.
Consent*
I understand that classes are offered as a whole, and refunds will not be available for missed sessions.
Consent*
I authorize the above named business to charge the credit card indicated in this authorization form, on the date of each session or due date for a retainer agreement, according to the terms outlined above, and according to the Alongside You cancellation policy. I authorize Alongside You to charge my account for services rendered, including retainer payments. This is permission for recurring transactions related to clinical services, and does not provide authorization for any additional unrelated charges or credits to the account. I certify that I am an authorized user of this credit card and that I will not dispute the payment with my credit card company; so long as the transaction corresponds to the terms indicated in this form.
Cardholder Signature*
CAPTCHA
What to Bring:
Please wear clothes that can get messy!

Art Studio - Request to Register

Participants

Payment

What to Bring: