Winter 2011 registration

WORKSHOPS REGISTRATION FORM
10 WEEK SESSION

Please print, fill out completely and return with payment for each student.

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Student Name Parent or Guardian Name (if under 18)

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Home Phone /Cell Emergency Contact/ Ph#

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Street Address

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City/State/Zip Code Email Address

Check applicable class: ART EXPLORERS $200 ____ MAGICAL WORLD $260 ____ CERAMICS $300 ____ (includes $20 materials fee)
COMIC BOOK ILLUST. $280 ____
CREATIVE WRITING $280 ____ YOU CAN DRAW $280 ____ ART OF FASHION $280 ____
Adult Classes:
CERAMICS $80 ____
DRAWING FOR EVERYONE $300 ____
JOURNALING WITH IMAGES $75 ____

Total Amount Enclosed: _______
For your convenience, fees can be split into two payments.
1st Payment: ______
Balance: ______

REGISTRATION POLICY: Choose one of three ways to register for Place classes
By mail with a completed registration form and check.
In person with cash, check, or credit card.
3) Call Place with your registration and credit card information.
Class Places are held only for registrants who have paid a deposit of half the class tuition fee prior to the first day of class. REFUND POLICY: * To withdraw from a class and receive a full refund, the request must be made at least 10 days prior to the beginning of the session. Classes with insufficient enrollment may be canceled or postponed. If Place cancels a class before the first meeting, a full refund will be issued automatically or, if preferred, credited toward another class at Place.

We look forward to seeing you at Place!

Place 1506 Mission Street South Pasadena, CA 91030 626.441.4788 Placeartscenter.com