Galerie Elan / ArtQuest School Class Registration
230 S Beach St, Daytona Beach, FL 32114 (386) 871-9906
Student Name
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First Name
Last Name
Address
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Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Age (children/teens only)
Type a question
First-Time Student?
Email
*
Phone Number
*
-
Area Code
Phone Number
Emergency #
*
-
Area Code
Phone Number
Class(es) or Workshops Registered for:
*
Starting Date :
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How do you wish to pay?
Check (payable to Galerie Elan)
Gift Certificate
Credit Card
Seat reservations are only guaranteed by paid tuition. No verbal reservations, please. Pre-registration is required to allow us adequate time for class preparation. Online credit card tuition payments are secure; we will also take cash or checks payable to: Galerie Elan. Mail to: Galerie Elan, 230 S Beach St., Daytona Beach, FL 32114. If paying with credit card, you will be directed to the online payments page after submitting this form. By electronically "signing" this form and clicking the "submit" button below, you verify that you have read, understand, and agree with the GALERIE ELAN / ARTQUEST CLASS POLICY.
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Type yes or no to indicate if you understand this.
The section below is for credit card payments only.
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Children/Teen's Drawing, Painting, Color & Creative Design
$
125.00
Quantity
0
1
2
3
4
Adult Drawing/Painting Classes - Greg Grant
$
125.00
Quantity
0
1
2
3
4
Daily rate for children/teens/adult classes
$
30.00
Quantity
0
1
2
3
Total
$
0.00
I have read, understand, and agree with the Galerie Elan / ArtQuest class policy.
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