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Online Art Class Registration Form
Class 1 Schedule
Date - 04/30/2020
Time - 9:00 AM - 5:00 PM
Topic - Basic Painting

Class 2 Schedule
Date - 05/10/2020
Time - 9:00 AM - 5:00 PM
Topic - Basic Shadowing

Class 3 Schedule
Date - 05/20/2020
Time - 9:00 AM - 5:00 PM
Topic - Basic Anatomy
Student Information
Name

First NameLast Name
Age
Gender

MaleFemale
Phone Number
Email
example@example.com
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School Name
School Level
Write something about yourself
Parent/Guardian Information

For minors (below 18 years of age)
Parent/Guardian Name

First NameLast Name
Phone Number
Email
example@example.com
Relationship
Other
How do you learn about this online art class?
Do you want to add enroll more students?

YesNo
Additional students
Payment & Confirmation
Payment Method

CashCredit CardCheckPayPalOther
Please only sign if you're 18 years old and above otherwise, leave it blank and have your parent/guardian signed the next signature field.
Signature of Student

Clear
Date Signed

MonthDayYear
Date
Parent/guardian Signature

Clear
Date Signed

MonthDayYear
Date
The relevant links will be provided in the autoresponder email after you successfully registered.

If you have any questions, please email or call us using the details below:

ABC Art Academy
www.abcart.edu
info@abcart.edu
(123) 123-4567
Should be Empty:

Online Art Class Registration Form