Student Enrollment Form All students may be placed on same form.

 

CALLIGRAPHY & GRAPHIC DESIGN  Spring Art Classes 2018

Print this Page If you are new student please indicate male or female. Thank you!

Name(s)_____________________________(m,f)Age(s) _____ Grade(s) _____

Address__________________________________________________________

Phone __________________ Parent’s Names _________________________

Cell phone_______________Email address___________________________

CLASS Location/Time/Dates________________________________

New student? _____

I give permission for my child to be treated in case of emergency at Mrs.Seitz’ discretion until I can be contacted.

Parent Signature __________________________________

Tuition:

1st Child $80 Paid Now___ Paid at 1st Class___

2nd Child $75 Paid Now___ Paid at 1st Class___

3rd Child $70 Paid Now___ Paid at 1st Class___

4th Child $65 Paid Now___ Paid at 1st Class___

Subtotal: __________

If paid at least one week before class save $5 on total cost!

Total Cost: _________

Check No.:_________

Please send enrollment forms to: 2248 Fairfield Blvd. Plymouth, IN 46563

Make checks out to Gloria Seitz.

Back to the Previous Page