Moon Stars and Controllers Registration - Teen Paint Night @ Scrolls "*" indicates required fields Teen's Name* First Last Please type in grade in school (6 - 12)* Parent's Name* First Last Parent's Phone*Email* Enter Email Confirm Email Choose ONE Type Painting:* Moon & Stars X-Box Game Controller Playstation Game Controller Teen Paint Night* Price: 16 x 20" Acrylic on CanvasProcessing Fee* Price: Total I attest that I have read the Terms and Conditions at: https://www.canvas-connections.com/termsconditions Type YES below to continue submission.* Credit Card*Card Details Cardholder Name PhoneThis field is for validation purposes and should be left unchanged.