Thur Adults Registration

     
    Thursday Adult 8:00-10:00 PM  
    On Line Student Registration Form: for new and returning students  
       
   
Please enter the *Art Student's Name in the form below. Then fill out the rest of form and press the Submit button. We will e-mail you back with a confirmation. Check back later, the Student's name will be printed in one of the below boxes. This confirms registration for this art class.

Returning Students only need to fill in their name below and press the Submit button.
If all the below Art Student Boxes are filled in, that class is full, please try another class.

  
   
 
   
Art Student One     Valerie Popper
   
Art Student Two     Mickey Sorensen
   
Art Student Three    Ann Marie Miller
   
Art Student Four    Laurianne Flemming
   
Art Student Five    
   
Art Student Six  
   
Art Student Seven  
   
Art Student Eight  
 
     
New Students  We can not guarantee their selected classes, returning students have first choice of classes. We ask new students to sign up now online and we will do our best to get you into your requested class.  
*Returning Students Only need to fill in their name below.  
     
  *Art Student's Name:    
  Age    
  Parent Name:    
         
  Street Address:    
  City:    
  State:
Zip
   
  Telephone Home:    
  Telephone Work:    
  Telephone Cell:    
   E-mail Address:    
   Emergency Contact:    
   Emergency Phone:    
         
  Does the student have any special medical or physical conditions?    
 

  

Yes No  
Please Explain below:  
 
   
 

  

     
  Has the student taken private art lessons before?    
   
Yes No
   
         
 
  I understand no child or teen will be permitted to leave the Art Studio without parental consent
     
  I give permission to use any photographs taken of myself or my child and of created artwork for publicity on websites, print media, brochures, etc.
   
         
   
Enter a Message or Special Instructions:  
 
   
         
  Please press the "Submit" Button below. This will register you for this Art Lesson Class.  
     
  You do not have to pay to Register on-line, but if you wish to pay tuition using your credit card, go to the "Tuitions & Fees" page after you press the below "Submit" button.  

 
   

   
   

Copyright © 2006 Scully Studios. All rights reserved.

    

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