Online Registration Form (Kids' Classes)

Use this form to pre-register for a kids' class at The MAC. If you register for a class and have to cancel, we ask that you please give us at least 48 hours notice of your cancellation by emailing us at office@macart.org.


If the class you want to register for is not listed here, please indicate the class title in the ‘Message’ section of this form, and we will be sure to add it to the list for the next registrant.
If you are registering multiple children for the same class, please list their first and last names here.
Guardian's Name *
Guardian's Name
Phone *
Phone
Besides you, who else has permission to pick up your child? Please provide a name, relationship to the child, and a phone number for at least one other person in case of an emergency where you cannot be reached.
Use this space to let us know of any special requests, accommodations, allergies, or questions you or your child might have.
Media Release *
Do you authorize The Macoupin Art Collective to photograph, take video footage, and/or make electronic sound recordings of your child, and to use such photographic or electronic reproductions of your child for any purpose, including, but not limited to educational and other public media (such as Facebook advertisements and marketing materials)? Note that your child may be identifiable from such photographic or electronic reproduction. Opting out of this media release will in no way prevent/preclude your child from participating in activities at The Macoupin Art Collective. This form serves as your electronic signature as an individual, and as the parent or guardian of the child (or children) named above, a minor under the age of eighteen years. By giving consent here, you agree to assume legal responsibility for his/her authorizations referred to in this media release.
Terms and Conditions *
Please certify that you have read and understand our refund and privacy policies (link at the bottom of this page or under the ‘About Us’ heading in the page menu).