Art Buzz Kids After School Art Club                                                        
Art Buzz Kids is a division of Wine & Design



provide email address to be used as primary form of communication
Sign in to Google to save your progress. Learn more
Email *
Thank you for registering your child for Art Buzz Kids after school art club. Our wildly popular art classes are suitable for grades K-6. We customize the lesson plans to be age appropriate which increase in complexity for upper graders.  All grades K-6 are welcome and encouraged to participate. Students will create canvas paintings, DIY projects, wood projects, mixed media, everything to inspire your artists to be as creative as they wish to be.
Kindergarteners will be picked up from their classrooms at their release time and supervision will be provided.   All other grades will come directly to the classroom when released.
No Class on School Holidays or Minimum Days.
Cancellation Policy: We are happy to issue a credit towards future classes only. No Refunds. But you are welcome to try a class before you sign up. Please contact us at losaltos.ca@wineanddesign.com if you would like to try a complimentary class.
Please note, your child's space in class is not confirmed until you have completed the registration and payment form online at www.wineanddesign.com/losaltos. Please contact our studio if you have any questions:      losaltos.ca@wineanddesign.com.
All our instructors are fully vaccinated and will follow the current mask guidelines.
School:                                                                                                                                                                               *
STUDENT Name  (First and Last Name OF STUDENT) *
Grade *
Teacher's Name and Room # *
Parent or Guardian Name *
Parent or Guardian Phone # (Cell or best contact number) *
Parent or Guardian Alternate Phone #
Emergency Contact *
Emergency Contact Phone #   *
Does your student have any allergies? *
If "Yes" please specify:
Please send a NUT FREE snack with your child to eat before class starts. By checking the box below, you understand that Art Buzz Kids after school art club is a NUT FREE zone and you agree not to send anything containing nuts with your child. *
Required
We require parents to come sign out their kids after class. If your child is allowed to walk/ride home by themselves, or even if you would like them to meet you in the parking lot, please select "Dismiss my child without signing out".  If your child goes to on site after school care, please indicate below. *
Required
Please be sure to pick up promptly at class end time. By checking the box below, you understand and agree that there is a $10 late fee charged for every 15 minutes late to pick up. *
Required
By checking the box below, you understand that in some classes we may be using paints or other substances which could be permanent and may stain clothing. You agree to not hold Art Buzz Kids, a division of Wine & Design, or any of its representatives and/or staff liable for any damages. *
Required
Do you give Art Buzz Kids permission to use class photos in which your child may be a part of in weekly newsletters or social media posts?
Emergency Medical Release: PLEASE READ CAREFULLY and AGREE with the statement below *In the event of injury or serious illness, you give permission for Art Buzz Kids, a division of Wine & Design, or a representative or staff to obtain medical treatment for your child. You understand that if your child needs to be transported to an emergency facility, that decision will be made by the emergency team responding to the call, school staff or Art Buzz Kids staff, for the safety and well being of your child. *
Required
You agree to waive, release, and discharge Art Buzz Kids, a division of Wine & Design, and any of its representatives or staff, of any and all liability of any incident that may occur at or once your child leaves the premises. By digitally signing this document, you certify that you have read and fully understand this document and its contents and you allow your child to participate in this after school art program. Your name below represents a digital signature, which is valid as a handwritten signature. *
Required
We reserve the right to refuse service to anyone. *
Required
You understand that your child's space in the class is not confirmed until you make the payment online at www.wineanddesign.com/losaltos Click on the Calendar tab and find your school on the date offered. *
Any other info we should know.....  does your child get picked up by a different caregiver? Does your child go to after school care, any special information we need to know? please specify....
Art Buzz Kids is a division of Wine & Design
630 Fremont Ave. Los Altos, CA 94024  |  650-880-7872  |  losaltos.ca@wineanddesign.com
 www.wineanddesign.com/losaltos 
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of Wine & Design. Report Abuse
Google Forms