Veterans Impressionist Painting Class Registration

Veterans' Drawing Registration 2023

Please fill out this form to register for Veterans' Drawing- M.C. Escher: Drawing and Illusion

Participant Name:(Required)

Email:(Required)

Home Phone:(Required)

Cell Phone:

Address:(Required)

City/State:(Required)

Zip Code(Required)

Emergency Contacts

Emergency Contact Name:

Relationship:

Emergency Contact Cell Phone:

Health: Please list any allergies, medical conditions, health or dietary concerns the Museum needs to be aware of:

Are you a VBMA Member?(Required)

YES

The Vero Beach Museum of Art takes photos of program participants for archival and promotional purposes. Does the Museum have permission to take pictures of you? These images may be used in marketing materials.(Required)

YES

On occasion, photographers from local newspapers and magazines may take photos for media use during programs. Will you permit these media images to be taken?(Required)

YES