Raglan Community Arts Council · Tamariki Clay Class Tuesdays Term 4 2024

Fees

Please complete the following form and make payment at the office Mon-Fri 10-2 with cash or eftpos, or online to our bank account: 38 9018 0232468 00, Raglan Community Arts Council (Old School Arts Centre), Kiwibank, Bow St, Raglan. Include your child's name and 'After-school' as references. Please note your place(s) are not confirmed until payment is received.

$160 one child

$310 two children

Caregiver

Name *

First Name

Last Name

Email *

Verify Email *

Phone *

First Child Details

First Child Name

First Name

Last Name

First Child Age

First child -is there anything we should know about this child?

Eg behaviour, allergies, custody arrangements. Enter here or give us a call to discuss 07 825 0023. Please note we are unable to provide additional support, however you are welcome to attend class with your child or arrange for a support person.

Second Child Details

Second Child Name

First Name

Last Name

Second Child Age

Second child - is there anything we should know about this child?

Eg behaviour, allergies, custody arrangements. Enter here or give us a call to discuss 07 825 0023. Please note we are unable to provide additional support, however you are welcome to attend class with your child or arrange for a support person.

Emergency contact details *

Please provide name and phone number of an alternative person in case we are unable to contact you during class time.

Doctor's name and phone number *

Please provide name and phone number of your family doctor in case of emergency

By submitting this form you agree to the following conditions

- I agree to pay all costs if my child receives medical treatment for any injuries.
- I give my child permission to attend the programme.
- I agree to pay fees as stipulated in the fees policy.
- I agree to sign my child in and out of all programmes.
- I agree to inform the Old School Arts Centre of any changes to our contact details.
- I agree that any photographs taken of my child can be used solely for the purpose of reporting to donors.
- I will ensure I am contactable while my child is in class in the event that they need to leave early.

The Raglan Old School Arts Centre, will take care, but accepts no responsibility for any injuries that occur during the course of the classes.
Please be aware that when working with clay, it is an unpredictable and fragile medium and accidental damage to the art work can occur – despite our best efforts to avoid this.

Tamariki Clay Class Tuesdays Term 4 2024 - Book now pay later

Caregiver

First Child Details

Second Child Details