Chimera Class Attendance Form
Submit this form (or its paper equivalent) to Chimera Accounting for payment.
Class Name
*
i.e. Laser Cut Night Light
Instructor Name
*
First Name
Last Name
Instructor Email
*
example@example.com
Class Date
*
-
Month
-
Day
Year
date the class was held
Class Fee per Student
*
typical amount per ticket - don't include fees
Attendees
*
Preferred Instructor Payment Method
Check Pick-up (at Chimera front desk)
Mailed Check
Donate payment to Chimera
Other
If mailed, specify address to send payment to
i.e. PayPal email address, mailing address
Instructor Signature
*
Submit
Should be Empty: