Art Class Registration form

Class_______________________________________

Date_______________________________________

Name_____________________________________

Address________________________City_______________Postal Code______

Home Phone____________________Alternate contact #___________________

If you are registering a child, please list all medications, allergies, or special health concerns which staff needs to be aware of.

____________________________________________________________________________________  

Child's age at the time of the class ____________________________________________________

 Payment:

Card #_________________________________Expiry Date_________________

 Signature_________________________ Cardholder’s name_________________

A separate registration form is required per session and student.  Registrations are accepted with full payment on a first come/first serve basis.  Students who cancel their registration, transfer classes or request a credit, must do so no later than seven days prior to the first class or a $15.00 fee will apply.

Once you fill out your form, you may register in person, by phone or mail in your completed form to: