Please complete your enrolment details

If you have purchased this course as a gift certificate, please tick the box below and include the recipient’s details. We will then email you the gift certificate.
If you would like to put a different name or contact e-mail on the class list, please submit the alternative information below.
If you would like to discuss anything regarding the course, please email us at hub@melbourneartclass.com
Before completing this form, could you please make sure you have read and understood our Course Withdrawal and Refund Policy.

Name purchased with(required)

Email address purchased with(required)

Student name for class list (if different from above)

Student email for class list (if different from above)

Student phone number(required)

Third party emergency contact phone number(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 class (for e.g. wheelchair access, sensory impairment etc.)?

Please tick the box if you would like a gift certificate

Gift certificate recipient name

Gift certificate recipient email address

Gift certificate recipient phone number

Comment

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

I don't know because I purchased this as a gift

MELBOURNE ART CLASS