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Name: First _____________________________ Last_________________________________
(Please fill this if you are under 18):
Guardians: Mother:______________________ Father:________________________________
Address ______________________________________________________________________
Age: Check One: Child(6-12):_____ Teen (13 to 17) ______ Adult (18 and above) _______
Please check the session you want to enroll:
____ Session 1 – Watercolor
____ Session 2 – Pastel color
____ Session 3 – Free hand drawing and coloring with crayons & pencil colors
____ Session 4 – Oil color
____ Session 5 – Portraits
Amount enclosed: $____________
Phone (Day) ___________________(Eve.) ______________________(Cell)_________________
Fax____________________________ Email _________________________________________
Emergency Contact: Mr./Mrs./Ms._________________________ Phone___________________
Discounts
NOTES:
Signature of Parent/Guardian__________________________ Date______________________