The Village Artist General Registration Form

Supporting copy for the Request Service call out button.

Request Service

We Moved!

690 new york ave

huntington, ny 11743

631-271-0715

bringing creativity to huntington village since 1995

The Village Artist

General Registration Form

630 New York Ave, Huntington, NY 11743 | 631-271-0715

lori@thevillageartist.com

Register Today

Name:

Student:

Email:

Phone:

Name of Emergency Contact:

Emergency Contact Number :

Address:

Workshops/Classes :

Class Start Date:

Class Start Time:

Method of Payment:

Field label

If paying by credit card, once we receive your registration request, we’ll contact you for your card information so please provide a good contact #.

For new students, there is an additional $10 registration fee.

For new students, there is an additional $10 registration fee. For paint n' sip, please disregard the registration fee.

Please initial waiver below

Any photographs taken by the person listed above and/or their work at The Village Artist Fine Arts Center can be used for the purpose of advertising (Print or website) by The Village Artist, LLC only

For more inquiries or suggestions please fill the field below :

Free Text

Note: Payment (not registration alone) guarantees a spot in the class.