Registration form

ArtWorks

5002 7th Ave Kenosha Wi. 53143

Phone 262-652-5911 Fax 262-652-5941

 

Class Registration Form

 

To Register:

1. Registration Forms are processed on a first come first serve basis.

2. Registration forms must be accompanied by payment in full. We accept cash, check, Visa, Mastercard, Discover and American Express.

3. You may register in person, by fax, online, over the phone, or by mail.

 

1. Refund and Cancellation Policy:

2. You may cancel, for a full refund, up to 7 days prior to the first class. NO REFUNDS will be issued after that date.

3. If a class is cancelled due to low enrollment, you will be notified one week prior to the start of the class and issued a full refund.

 

Please complete the information below:

 

Artist’s Name:_____________________________________________________________

Address___________________________________________________________________

Home Phone_________________________Cell Phone__________________________

Email Address_____________________________________________________________

 

Please complete the following information for child artist’s

 

Date of Birth____________Age______Grade_____School_______________________

Mother’s work phone______________________________________________________

Fathers work phone_______________________________________________________

Emergency contact name/phone___________________________________________

Does your child have any allergies, health issues, or behavioral concerns that you would like us to know about. ____No____Yes.  If yes, please explain_______

__________________________________________________________________________

 

Class Title_________________________________Day__________________________

 

Signature_________________________________Date_________________________