Online Art Class Registration Form

English Name *

First NameMiddle NameLast Name
Chinese Name *

First NameLast Name
Student Registration Form

Fill out the form carefully for registration
Birth Date *

MonthDayYear
Gender *
Address *

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Mobile Number *

Area CodePhone Number
How would you like to purchase for the lessons?*

1 Paypal2 Venmo3 Check4 Cash
Phone Number

Area CodePhone Number
Email *
example@example.com
Additional Comments
Parent’s Name *

First NameLast Name
Photo release of liability*

Yes. I am allow my child’s photo post on social mediaNo, not allowed
Refund Policy
• Regular Price: $330 for 10 sessions
• Discounted Price: $830 for 30 sessions

If you purchase the 30-session discounted package but need to terminate early for any reason, the refund will be calculated based on the regular price per session ($33/session). The refund amount will not be based on the discounted price per session.

退费须知

如果您购买30次的优惠价格包，因为任何原因需要提前终止。退费算法是按照正常价格的单价来计算使用过的课程。不能按照优惠价格的单价来计算退费金额。
Should be Empty:

Student Registration Form