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A ministry of:

New Hope Christian Fellowship


292 Route 101, Bedford, NH 03110


603-345-7203


contact: SherylGoedecke@yahoo.com

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www.SKETCHartProgram.blogspot.com

2015/2016 Class
Registration!

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STUDENT NAME:

(Only 1 form per family please)

AGE:

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Parent/Guardian Name: ___________________________________________________________________


Address: _______________________________________________________________________________
City: __________________________________
Home Phone:_______________________________

State: ____________

Zip:____________

Cell Phone:_____________________________

Email: _________________________________________________________________________________
Please explain any medical problems, allergies, learning disabilities, etc. that we should be aware of on the
reverse side of the page:

!A one time fee of $35 per family (not per student) is payable at time of registration

This is used to cover the cost of our community service projects, and printed materials.
Please note that this does not include art supplies.

!Registration is accepted on a first-come, first-served basis. Payment should be made out to New
Hope Christian Fellowship and is due in full with this completed application before the first day of
class.

Waiver: As the legal parent or guardian, in consideration of New Hope Christian Fellowships acceptance of my enrollment, I release and
hold harmless New Hope Christian Fellowship, its staff and members from any and all liabilities, claims, demands and causes of action
whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the
undersigned, while in or upon the premises of New Hope Christian Fellowship.. I understand that New Hope Christian Fellowship
administrators have the right to dismiss any student at their discretion, and that I will not be entitled to a refund of tuition. I understand
that I am required to supervise my child/ren at all times. By signing this form, I acknowledge that I have read and understand the above
policies. This agreement is a legally binding instrument when signed by the registrant. I understand that the non-refundable tuition is due
in full with the completed application

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Parent Signature: _______________________________________________

Date: ________________

Photo Release: SKETCH makes it a policy to avoid posting any pictures of childrens faces without specific permission. Artwork,
however, is regularly photographed as an integral part of the course, and therefore the signing of a photo release is required for
registration.
I grant full permission to New Hope Christian Fellowship to use any photographs or videos of art or classroom activities for community
service and promotional purposes. !

Parent Signature: _______________________________________________

Date: ________________

Materials Order Form:!

All checks should be made payable to !


New Hope Christian Fellowship and mailed to:!
Sketch Art Program!
Attn: Sheryl Goedecke!
99 Liberty Hill Road!
Bedford, NH 03110

Please note: The class fee covers 1


glass firing fee. If you have more than
one student (or if you as a parent wish
to make your own fused glass creation)
there will be an additional $10 charge
for kiln use.!

There are no add-on items available


this year. If you need a specific
materials, please check our supply list
on the class site for links to each
individual item.!

# kits
Class fee $35/family

total
1

$35.00

Basic kit $22 ea


Complete kit $48 ea
Glass firing $10 per item!
(first item per family is free)

Complete kit $48

item cost for reference only

Student scissors

$2

12x18 Construction paper assorted colors

$5

Prang Crayons

$1

Prang Watercolors

$3

Elmers glue 4oz

$1

Water brush (note: not watercolor brush)

$8

Navy thread

$4

Self-threading needles (2)

$1

Self-threading needles (2)

Ribbon, 1 yd - approx. 3/4 in wide

$1

Ribbon, 1 yd - approx. 3/4 in wide

Black drawing marker

$2

Black drawing marker

Printing foam 1 sheet 9x12

$1

Printing foam, 1 sheet, 9x12

Safety glasses

$3

Safety glasses

Safety gloves

$0.50

Safety gloves

Watercolor paper, 2 sheets (enough for 1 student)

$1.50

Watercolor paper, 15x22 2 sheets (enough for 1


student)

Oil Pastels

$2

Size 6 bright synthetic brush

$4

Masking tape

$1

Acrylic paint, 10ml 12 piece set

$7

Basic kit $22

Water brush (note: not watercolor brush)

Size 6 bright synthetic brush