Pain in the Arts - Request to Register

Pain in the Arts - Request to Register September 2022

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!

Your Name*
First Last
Your Phone*
Your Email*
Enter Email Confirm Email
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 Number*
Expiration Year*
Expiration Month*
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 the registration listed in this form.
Consent*
I understand that classes are offered as a whole, and refunds will not be available for missed sessions. For Pain in the Arts we offer one make-up class for participants who were unable to join a previous session due to health issues or family emergencies.
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.
Signature*
COVID-19 Mask Preference*
We'd like to gauge everyone's comfort level on whether we wear masks while in our art studio together. With participants who have health issues, we understand that protecting your health may be a top priority for you.Our art studio is a medium sized room, with a maximum of 6 people (which includes the instructor) present.Once we hear from our group we'll let you know the requirements, but please bring a mask to the first session as a precaution.
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What to Bring:
Please wear clothes that can get messy!

Pain in the Arts - Request to Register September 2022

Payment

What to Bring: