Please print and mail this form if you wish to register for a class.

Paint Your Art Out!, 2005 Palmer Ave, Larchmont.  833-2321
REGISTRATION FORM

Student's name:________________________________

Grade (if child):_________Birthday:_____________

Address:________________________________________

Phone Numbers:________________________________

_________________________________________________

Is there anything you would like to tell me

about your child:_______________________________

_________________________________________________

Class Name:____________________________________

Day:_______________Time:_______________________

Amount enclosed:______________________________
*You will only be notified if a class/workshop is not going to run
*A $25 nonrefundable deposit must accompany registration form to hold a spot.  If class is cancelled, deposit will be refunded
*Full payment is due at first class/workshop
*Please respect age requirements  in fairness to your child & other children