EmailMe Form - Auto Shop Club Registration Form

Child or participants name -This form must be sent no later than 3pm Friday prior to the Saturday you are registering for as we need to contact you with deatils.

First Last

Choose Your Auto Shop Club Date & Topic

4/11/2026- EXTERIOR PANELS- REMOVE & INSTALL BUMPERS, & MORE!

5/9/2026-PLASTIC WELDING

5/30/2026- ROAD TRIP SURVIAL FOR YOUR CAR

Child or participants address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent/ Guardian Name

First Last

Address if different from child or participant

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Emergency Contact Information

Please enter the name of the parent or guardian who should be contacted in the case of an emergency.

Name

First Last

Relationship

Phone

### - ### - ####

Email

Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Parent / Guardian Consent

Please indicate if you agree to the following:

I approve this child to participate in the Automotive Education Series and certify that he/she is in good health and able to participate in all activities. I hereby voluntarily assume all risk of accident or injury to my child which may arise from his/her participation in this event.

I agree

I do not agree

In the event of an emergency I understand that efforts will be made to contact myself or the emergency contact I have designated. In the event I/we cannot be reached I give permission for Gustafson Brothers Inc. to administer first aid or obtain emergency medical treatment in my child's best interest. I agree to pay any and all expenses incurred due to an emergency involving my child.

I agree

I do not agree

I give permission and consent for photographs and video to be taken during learning session activities. I further give permission and consent that any such photographs may be published and used by Gustafson Brothers Inc. to illustrate and promote the learning experience, and its programs.

I agree

I do not agree

If your child is unable to attend after you have registered please give a courtesy call to Trish at 714 847 5600 ext 264. Also, refunds or credits will NOT be issued for days missed.

I agree

I do not agree

Does your child have permission to be released on his/her own once class has been dismissed?

Yes

No