South County Art Association

Class Registration

Summer 2008

Please return this portion with payment to:

South County Art Association
2587 Kingstown Rd.
Kingston, RI 02881

Student's Name
Phone
Member: Yes No  
Address
City
State
Zip
If student is under 18 years of age:    
 
Student's Age
Parent's Name
Class Title
Cost
 (does not include materials)
Class Title
Cost
 (does not include materials)
 
Total Amount Enclosed:
  
Method of Payment: Check (payable to: SCAA)
VISA Account Number Exp Date
MASTERCARD
Signature of Cardholder
       
  Please note: Our insurance company does not allow the participation of any student under 16 years of age in pottery classes which use the throwing wheels.  


WOULD YOU LIKE TO JOIN THE SOUTH COUNTY ART ASSOCIATION?

If so, please use this form and include separate payment.

Thank you!

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