Adult Class Registration
Student's Name
*
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Ms.
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First Name
Last Name
Mailing Address
Street Address
Street Address Line 2
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Primary Contact Number
*
-
Area Code
Phone Number
Secondary Contact Number
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Area Code
Phone Number
E-mail
*
Emergency Contact
First Name
Last Name
Emergency Contact Number
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Area Code
Phone Number
Select a Class Day and Time
Monday 3 - 5 PM
Tuesday 2 - 4 PM
Wednesday 12:00 - 2:00 ( ONLY AVAILABLE FALL AND SPRING SEMESTER)
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Registration Fee Required (New Student)
$40.00
$
40.00
Supply Fee Required For Each Semester
$50.00
$
50.00
Adult Class Monthly Registration - Once A Week Class (4 Lessons)
$160.00
$
160.00
Fall Semester (September - December) Save $40
$640.00
$
640.00
(September - December) Once a week classes Savings of $40 Fall Semester begins: Monday August 17th, 2026 and goes thru to Saturday December 19th, 2026. This includes 17 classes
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Total
$0.00
$
0.00
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I give my permission for my photo and artwork to be used in promotional material. Only first name, last initial and age will be used for credit line.
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