Paint-Along Art Class Registration
Monday/Wednesday: 6 pm - 7:30 pm
*
New Student Registration
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Payment for the month of:
January
February
March
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Choose Start Date
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Month
-
Day
Year
Date
Student's Name
*
First Name
Last Name
Age
*
"A" for Adults
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Will sibling also be attending?
*
Yes
No
Student's Name
*
First Name
Last Name
Age
*
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Parent/Customer Name
*
Contact Number
*
Email
*
Confirmation Email
Invoices and other school notices are sent to emails on file
Address
*
Street Address
Street Address Line 2
City
Zip Code
Emergency Contact Name
*
Same as above
Other
Emergency Contact Number
*
Same as above
Other
Additional Comments/Notes
Class Option
Monday 4:30 pm - 6 pm
Monday 6 pm - 7:30 pm
Wednesday 4:30 pm - 6 pm
Wednesday 6 pm - 7:30 pm
How did you hear about us?
Internet Search
Driving By
Facebook
Friend Referral
Other
I give my permission for my child's / my photo and artwork to be used in promotional material. Only first name, last initial and age will be used for credit line.
TUITION & FEES
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( X )
Monthly Tuition - 1.5 hour
$
80.00
MONTH (per student)
1
2
Semester Supply Fee
$
25.00
per student
1
2
3
4
5
Sibling Discount
$
-10.00
Enter coupon
Apply
Total
$
0.00
Payment Information
Signature
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