Please complete this enrolment form for Painting Level 2 with Michelle Caithness

    First name of purchaser (required)

    Surname of purchaser (required)

    Email address of purchaser (required)

    Student full name for class list (if different from purchaser)

    Student email for class list (if different from purchaser)

    Student phone number (required)

    Third party emergency contact name (required)

    Third party emergency contact relationship to student (required)

    Third party emergency contact phone number (required)

    Do you give Melbourne Art Class permission to include images of your artwork in our online gallery and digital marketing materials? (required)

    Please tick the box to confirm that you have read, understand and agree to our withdrawal and refund policy (required)

    Do you have any special requirements to access the studio, or during the class (eg. wheelchair access, sensory impairment etc.)?