Child's Name

Student's Grade Level

Student Date of birth

Please share any allergies, food restrictions, or medical concerns we should be aware of

Pizza Preference

*If you are registering an additional child please enter thier Name, Grade, and DOB Here. As well as any allergies, food restrictions, or medical concerns. This will save you from completing a separate entry.

Parent Full Name

Phone *

Email *

Additional Parent/Emergency Contact Full Name

Additional Parent/Emergency Contact Phone

By checking this box, I consent to receive transactional and promotional messages related to my account, orders, or services I have requested. These messages may include appointment reminders, order confirmations, and account notifications among others. Message frequency may vary. Message & Data rates may apply. Reply HELP for help or STOP to opt-out.

I hereby release the directors, their agents, volunteers, and contracted staff of The Art of Confidence Foundation(The AOC) from liability on the premises of claims for damages, loss of property, accident or injury sustained during or in connection with any classes, performances, field trips or training and additionally from all claims and/or damages by reason of the action or inaction or decision of The Art of Confidence Foundation. By virtue of entering The Art of Confidence Foundation, parents, guardians, staff, and participants give their permission and consent to the directors of The AOC to use their images, photographs and or appearances in video or television or any other electronic media for performances, advertising, news coverage, publicity, or any other commercial use of our events. I also agree that The Art of Confidence is not responsible for lost or stolen property of its customers or staff.