2008 Summer 10-week Classes Sign-up Form

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Art Projects

Amount due: $.00

Have you sent the payment yet?
No, it has not been sent yet.
By cash or check: Check number
By Credit Card/PayPal

Amount that was sent: $.00

Please send the payment before filling out this form.

Student's name and age or grade (or Students' names and ages or grades):
If the student is an adult, just write "adult" instead of the age.
If there is more than one student and they are taking different classes, also include the courses each one will be taking.

Total number of students:

Parent's name (or your name if the student is an adult):

First	Last

Address (you only need to put down the city and state):

Your E-mail address:
If the student has his own e-mail address, be sure to give your e-mail address here and not the student's.

2 Optional questions:

What kind of Internet connection do you have?
Dial-up modem
Broadband (cable, dsl, fiber)
Not sure

Where did you find out about the classes here?

Write to me at if you have any trouble with this form.

Privacy policy: This is for my record-keeping. No information collected here will ever be sold or given to any third party.