|
Clear Space Arts Institute Registration Form-FALL 2008
|
||||||||||
|
|
||||||||||
|
Student Name
|
||||||||||
| Student Age
|
Student Gender
|
|||||||||
|
||||||||||
|
Parent Name (If Student under 18 years of age)
|
||||||||||
|
||||||||||
|
Mailing Address
|
||||||||||
| City
|
State, Zip
|
|||||||||
| Home Phone
|
Alternate Phone
|
|||||||||
|
Email Address
|
||||||||||
|
Please check your class selection(s): |
||||||||||
| ||||||||||
|
||||||||||
|
5% discount for any student taking more than one class. Make checks payable to: Clear Space Productions, P.O. Box 304, Rehoboth Beach, DE 19971 Refund Schedule |
||||||||||
|
If you have questions please contact artsinstitute@ClearSpaceProductions.org
|
||||||||||