Virtual Art Class

VIRTUAL ART CLASS REGISTRATION FORM

www.carlacampbellart.com
Student Name*

First NameLast Name
Parent/Guardian Name ( if under age 18)

First NameLast Name
Email ( if under 18 use parent/guardian email)*
example@example.com
Phone Number (if under 18 use parent/guardian phone number)*
Please enter a valid phone number.Format: (000) 000-0000.
Which Session Is Best For You? (Select one)*

TEENS (12-14yo) Sunday 1:00pm - 2:30pmTEENS (15-17yo) Sunday 2:45pm -4:15pmADULTS (Portrait & Figure Basics) Saturday 4:00pm - 5: 30pm
Which payment is best for you? (Select one)*

Monthly $160 ( 4 sessions)12 Session Bundle $399 (you save $81)
Quick Question….What is your biggest frustration when learning art?*
Tech Specs. Do you have access to any of these? (Select all that apply).*

Computer/laptop/tablet/laptop/cellphoneWorking Camera/ video ( I just need to see your hands while you work)Reliable Internet accessZoom app
What type of art goal matters most to you?*

ConfidenceSkillsPortfolioRelaxationArt Exam Prep ( BJC/BGCSE/AP/IB)Other
Will you use the Referral Bonus? You save $$ when your friend pays for either a monthly or 12 session bundle.*

Not todayYes! (Please include friend information below)
Referral Bonus Friend

First NameLast Name
Referral Bonus Email
example@example.com
Referral Bonus Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Referral Bonus. Which Session Is Best For your friend? (Select one)

TEENS (12-14yo) Sunday 1:00pm - 2:30pmTEENS (15-17yo) Sunday 2:45pm -4:15pmADULTS (Portrait & Figure Basics) Saturday 4:00pm - 5: 30pm
My Products
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Virtual Monthly
$160.00 Quantity

Virtual Bundle(12 sessions)
$399.00 Quantity

Total

$0.00
Payment Methods

Fastlane Checkout

Choose from one of the PayPal options to make your payment.

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VIRTUAL ART CLASS REGISTRATION FORM