Please enable JavaScript in your browser to complete this form.Please enable JavaScript in your browser to complete this form.Student Name *FirstLastDate of Birth *(MM/DD/YEAR)Grade *Parent Name *FirstLastEmail *Phone *Address *Address Line 1Address Line 2City— Select state —AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingStateZip CodeEmergency Contact *(name, phone number)Note (optional but recommended):To help us better care for your child, is there anything you’d like to share that would help us understand their needs or preferences? Schedule *9:00 AM – 11:00 AM (age 5-10)2:00 PM – 4:00 PM (age 10-14)If you have a more specific preferred camp request (early care or aftercare), please feel free to contact us (arts@aafa.info).Total$0.00Credit Card *Card NumberMM123456789101112Expiration/YY2526272829303132333435Security CodeAcknowledgement of Risk, Waiver, and Release of Liability *I have read and accept the Terms of Service and Privacy Policy.I understand that participation in classes, camps, and activities offered by American Academy of Fine Arts LLC (AAFA) involves inherent risks of injury, illness, and loss. These risks may include, but are not limited to, accidents, behavioral incidents, or unpredictable events, particularly for children with autism or other special needs. On behalf of myself and my child(ren), I voluntarily assume all risks of participation and agree to RELEASE and HOLD HARMLESS AAFA, including its employees, staff, and agents, from any claims for injury, illness (including from contagious diseases), damage, or loss, even if caused by negligence. I agree to take full responsibility for any medical expenses or other costs incurred as a result of such incidents. I understand that AAFA cannot guarantee the safety or behavior of any participant, and that if my child causes injury to others or is injured, I will not hold AAFA responsible. If my child’s behavior poses safety or program challenges, AAFA may, at its sole discretion, remove them from participation. I authorize AAFA staff to act in their best judgment in the event of a medical emergency when I am unavailable to be reached. I confirm that my child(ren)’s immunizations are current, or I have opted out for religious or personal reasons. I will maintain appropriate medical insurance coverage and accept financial responsibility for any uncovered costs. I grant permission for AAFA to photograph or record my child(ren) for promotional use without compensation and agree to receive program-related communication from AAFA. Refund Policy: • 75% refund if canceled ≥14 days before class • 50% refund if canceled ≥7 days before class • No refund if canceled <7 days before class or for no-shows • Written notice must be sent to arts@aafa.info I acknowledge that contagious illnesses (e.g., COVID-19, flu) may be present despite precautions. I agree to follow health protocols and release AAFA from any liability related to exposure or illness. This waiver is binding to the fullest extent allowed by law. If any portion is held invalid, the remainder shall remain in effect. If a waiver on behalf of my child is found unenforceable, I agree to indemnify AAFA for any resulting claims or costs. Signature * Clear Signature Parent or Legal Guardian SignaturePhoneRegister