Art Factory Registration

Registration

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Art Factory Registration

Applicant First Name

Applicant Last Name

Applicant Age

Applicant Grade

Applicant School

Applicant Gender

Parent/Guardian Name

Parent/Guardian Email

Parent/Guardian Phone Number

Additional Emergency Contact Phone Number

Participant’s Allergies, Dietary Restrictions, Medical Needs and Care Plan

How did you hear about Art Factory?

Why does the applicant want to participate in Art Factory?

Which time block(s) works for you? Select all that apply.(required)

Fridays, 5:30pm to 7:30pm, January to June 2027 Fridays, 7:30pm to 9:30pm, January to June 2027

I acknowledge that in the event of negligent handling of equipment, I will be held responsible for the replacement of any lost or damaged components.

I have read the consent form below and consent to the terms and conditions

I understand that, to secure and complete the registration, that I must pay for the program in full, and that all sales are final.

Type your full name to sign the consent form.

You will receive communication from us within two business days regarding your application. If you do not receive a confirmation email from us within this timeframe, please contact us at hello@mastermindyouth.org.

consent-form-2026 Download

Registration Payment Options

To secure and complete the registration, please send the full payment via email transfer or by making an online card transaction. Please note that paying by card is subjected to 3rd party online transaction fees.

Option 1: Email Transfer

Season Registration

Total = $565

Please send the full email transfer payment to hello@mastermindyouth.org

Please include the name of the participant in the email transfer notes.

Please send a separate email transfer for each participant.

Option 2: Online Card Payment

Please make a separate payment for each registered fay. Please sign up with the same email address as the one used to register the participant.

Season Registration

Total = $604.55

(Includes 3rd Party Transaction Fees)

Pay with Card

Option 3: YRASP Funding

We are accepting YRASP funding!

If you qualify for YRASP funding please send your request for assistance to the County of Lambton by:

E-mail: childcareadmin@county-lambton.on.ca
Phone: 519-344-2062 ext 2201