(Cut, paste, print
send with deposit to hold your spot):-)
CLASSES FALL 2019-SPRING 2020
Artist Name:_________________
2nd Artist Name:_________________
Birthdate:____________________
Current age:__________________
Cell #:_______________________
Email: __________________________
Address:_____________________
City:____________ zip:_________
_____________/_______________________
day time
Allergies? ________________________
Any information I should know about this artist?
(kept confident)_________________
***********************************************
I understand that my deposit holds
my child’s spot. If there is a conflict,
my deposit can be used for another time.
________________________________
PARENT'S NAME Please PRINT
________________________________
PARENT'S SIGNATURE
TO SECURE YOUR SPOT, PLEASE
DROP OFF OR MAIL TO:
JAN'S ART ACADEMY
3 Homewood Drive
Asheville, N.C. 28803
828-301-6116
Thank you !
ms. jan
