My Art Workshop - Register Online

2008-2009

My Art Club

6 Week Program

Pieffer Elementary

A Fun After School Arts and Crafts Enrichment Program for 1st through 6th Graders. Our Play it forward program donates 2% of fees donated back to your school and each class is only $14!
All you need is your Imagination!
Each club meeting lasts one hour.
At Pieffer we meet in the Art Room.
A minimum of 10 registered students is needed in each club.
$4 Discount when your sign up for all three sessions, $2 Discount when you register online.

Please remind your child of the club meeting dates. Confirmation will not be sent. Parents are requested to pick up their children promptly. Please send a paint shirt with your child for every session. My Art workshop is not responsible for stained clothing.

Please select the dates for which you would like to register

Select the class or classes you would like
	Fall '08, 3:10 - 4:10, $84 plus $2 Facility Fee Dates: 10/6, 10/13, 10/22, 10/29, 11/12, 11/19
	Winter '08, 3:10 - 4:10, $84 plus $2 Facility Fee Dates: 1/14, 1/21, 1/28, 2/11, 2/18, 2/25
	Spring '09, 3:10 - 4:10, $84 plus $2 Facility Fee Dates: 3/18, 3/25, 4/15, 4/22, 4/29, 5/13

Contact Information:

First Name
Last Name
Phone
Fax
E-Mail
Childs Name and Age:	(John Doe, Age 7)
Will you have a sibling in this program?	Siblings Name and Age

Discounts/Comments or Special Instructions

PAYMENT

Credit Card #

Expires (08/08)

Type MC/VI only

Credit Card Billing Address

Street Address

Address (cont.)

City

State/Province

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	Credit Card Billing Address
Street Address
Address (cont.)
City
State/Province
Zip/Postal Code
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