My Art Workshop - Register Online

2008-2009

Early Release Program

MAPLE GROVE

A Fun After School Arts and Crafts Enrichment Program for 1st through 6th Graders with 2% of fees donated back to your school!

All you need is your Imagination!
Each club meeting lasts two hours.
At Maple Grove we meet in the Art Room
A minimum of 10 registered students is needed in each club.
Sibling Discount $4.00.

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

10/16, 11/20, 1/29, 4/16

Select the class or classes you would like
	October 16, 1:05 - 3:05, $24.00 plus $2 Facility Fee
	November 20, 1:05 - 3:05, $24.00 plus $2 Facility Fee
	January 29, 1:05 - 3:05, $24.00 plus $2 Facility Fee
	April 16, 1:05 - 3:05, $24.00 plus $2 Facility Fee

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

Comments/Coupons?

PAYMENT

Credit Card #

Expires (08/08)

Type MC/VI only

Credit Card Billing Address

Street Address

Address (cont.)

City

State/Province

Zip/Postal Code

Country

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

My Art WorkshopCopyright 2008 [TWrightDesign]. All rights reserved. Revised: 10/09/08

My Art Workshop
Copyright 2008 [TWrightDesign]. All rights reserved.
Revised: 10/09/08