dot art registration form

STUDENT INFORMATION
Relationship to Participant *
 
COURSE INFO AND FEES
EMERGENCY CONTACT INFORMATION
HEALTH/MEDICAL INFORMATION
PERMISSION
I give my permission for dot art to reproduce/distribute/broadcast photographs, video, or audio recordings of myself and/or my children or our artworks to further the goals of dot art in any way that the staff sees fit.

In the event of injury or illness to myself or my son/daughter/custodial child while any of us is participating in a dot art program, I hereby consent for dot art to obtain emergency medical treatment for me or my child/custodial child. Such treatment may include anesthesia if such is recommended by attending personnel.

I understand that I am responsible for any medical expenses incurred while I and/or my children are participating in or being transported to and from dot art activities.

NON-DISCRIMINATION AND DIVERSITY
Dot Art does not discriminate on the basis of age , race, creed, ethnicity, sexual orientation, physical or mental ability. In fact, one of its goals is to unite many different kinds of people through the artmaking process. 

REGISTRATION
All classes are filled on on a first-come first-served basis. You are officially enrolled when your payment and registration form are both received. We will notify you only if the course is full or cancelled. Published fees cover instruction and materials, unless otherwise noted.

CANCELLATION
Dot Art reserves the right to cancel or substitute programs and to delete portions of programs.

REFUNDS
Full refunds will be mailed if the course is cancelled. Please understand that our small class sizes mean that for last-minute withdrawals we cannot refund fees except in dire emergencies. 

VACATIONS & SNOWDAYS
Unless otherwise stated, Dot Art follows the Boston Public School Schedule for vacation and snow days. 
 

Dot Art (at Walter Baker Lofts)

1231 Adams Street

Dorchester, MA 02124

http://www.dotart.org

617-905-7432