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    KathleenHaganQuigley
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    This document is a registration form for an after-school art class called "Make Room" being held on Tuesdays and Wednesdays from September 14th to November 2nd/3rd. It requests the student's name and grade, parent contact information, any allergies, emergency contact details, and permission to use photos of the student. The cost of the 6-week class is $175 and payment can be made in cash or check to the instructor, Kathleen Quigley, at her Marblehead address and phone number provided.

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    This document is a registration form for an after-school art class called "Make Room" being held on Tuesdays and Wednesdays from September 14th to November 2nd/3rd. It requests the student's name and grade, parent contact information, any allergies, emergency contact details, and permission to use photos of the student. The cost of the 6-week class is $175 and payment can be made in cash or check to the instructor, Kathleen Quigley, at her Marblehead address and phone number provided.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    150 views1 page

    Application

    Uploaded by

    KathleenHaganQuigley
    This document is a registration form for an after-school art class called "Make Room" being held on Tuesdays and Wednesdays from September 14th to November 2nd/3rd. It requests the student's name and grade, parent contact information, any allergies, emergency contact details, and permission to use photos of the student. The cost of the 6-week class is $175 and payment can be made in cash or check to the instructor, Kathleen Quigley, at her Marblehead address and phone number provided.

    Copyright:

    Attribution Non-Commercial (BY-NC)
    Download as DOC, PDF, TXT or read online from Scribd
    Flag for inappropriate content
    of 1

    Make Room

    Making Time for Making Art

    Class Registration

    Name/Grade__________________________________

    Parent_________________________________

    Phone__________________________________

    email__________________________________

    Does your child have allergies?____________________________

    Emergency Contact_______________________Phone________________

    ___Tues. Sept.14-Nov.2 ___Wed. Sept 15-Nov.3

    $175.00

    Cash or check to Kathleen Quigley

    90 Evans Road, Marblehead MA 01945

    781-639-1943

    Permission to use child’s picture on blog or promotional purpose

    Y or N

    781-718-5710 tk_quigley@yahoo.com www.themakeroom.blogspot.com

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