Welcome to Cozy Painting With Dylan M!Please be sure to read our policies before registering. Name * First Name Last Name Email * Mailing Address * Address 1 Address 2 City State/Province Zip/Postal Code Country Phone * (###) ### #### Alternate Phone (###) ### #### Website (optional) http:// Instagram (optional) http:// Which mediums do you use? (optional) Tell us a little about yourself. What interests you about this retreat? (optional) What do you hope to gain from attending? (optional) Do you need financial assistance to participate in the retreat? If yes, please let us know how much assistance you need. Please note, for those requiring financial assistance, application decisions will be made once non-scholarship attendees have been determined. Do you have any allergies/dietary restrictions? * Emergency Contact * First Name Last Name Emergency Contact: Email Emergency Contact: Phone * (###) ### #### By clicking "I agree" I have read and agreed to the cancellation and COVID policies. * I agree By clicking "I agree" I allow the Smiley Manse to photograph my likeness and artwork for promotional materials. * I agree Thank you for your application! Keep an eye on your inbox for more details in the coming weeks.