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Art Class Registration Form

This document is a registration form for an after-school art class called "Make Room" being held on Tuesdays and Wednesdays from September 14th to November 2nd/3rd. It requests the student's name and grade, parent contact information, any allergies, emergency contact details, and permission to use photos of the student. The cost of the 6-week class is $175 and payment can be made in cash or check to the instructor, Kathleen Quigley, at her Marblehead address and phone number provided.

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KathleenHaganQuigley
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4 views1 page

Art Class Registration Form

This document is a registration form for an after-school art class called "Make Room" being held on Tuesdays and Wednesdays from September 14th to November 2nd/3rd. It requests the student's name and grade, parent contact information, any allergies, emergency contact details, and permission to use photos of the student. The cost of the 6-week class is $175 and payment can be made in cash or check to the instructor, Kathleen Quigley, at her Marblehead address and phone number provided.

Uploaded by

KathleenHaganQuigley
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as DOC, PDF, TXT or read online on Scribd

Make Room

Making Time for Making Art

Class Registration

Name/Grade__________________________________

Parent_________________________________

Phone__________________________________

email__________________________________

Does your child have allergies?____________________________

Emergency Contact_______________________Phone________________

___Tues. Sept.14-Nov.2 ___Wed. Sept 15-Nov.3

$175.00

Cash or check to Kathleen Quigley

90 Evans Road, Marblehead MA 01945

781-639-1943

Permission to use child’s picture on blog or promotional purpose

Y or N

781-718-5710 tk_quigley@[Link] [Link]

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