2010 Summer Art Class Enrollment/Registration Form  - schedule to be announced

1. Print this form.
2. Make check payable to: Local Color Art Studio .
3. Mail completed form and check to:
   Local Color Art Studio/ PO Box 547824 / Orlando, FL 32854-7824
4. One student per Registration Form please.
5. Tuition: $150 for1 Week (all materials included): either morning or afternoon (see Early Bird special)
   - $280 for 1 Week (all materials included): both morning and afternoon
6. Please CHECK week and CIRCLE class or classes.

	Week	10:00-12:00 AM	1:00-3:00 PM
		(ages 5-12)	(ages 5-12)

  Enrollment is limited to 4-8 students per class. Register early! See Early Bird special

Child's Name:                                                        Age:       Grade Entering:

Address:

City & Zip:

Home Phone:                                              Cell Phone:

Work Phone:                                               Email:

Parents Name:

Emergency Contact Name:

Emergency Contact Phone: