INVESTIGATING CULUTURAL ART Spring Art Classes 2019
Print this Page If you are new student please indicate male or female. Thank you!
Name(s)_____________________________(m,f)Age(s) _____ Grade(s) _____
Phone __________________ Parent’s Names _________________________
Cell phone_______________Email address___________________________
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 __________________________________
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___
If paid at least one week before class subtract $5 on total cost!
Total Cost: _________
Please send enrollment forms to: 2248 Fairfield Blvd. Plymouth, IN 46563
Make checks out to Gloria Seitz.