REGISTRATION FORM

BLUE RAVEN ART SCHOOL REGISTRATION FORM FOR ART CLASSES

 

Please fill out form and submit to:

Blue Raven Art School (Attn: Classes)

720 E Prince Road

Tucson, AZ 85719

OR email to: Lynne@BlueRavenArtSchool.com

 

Name:

__________________________________________________

 

Contact:

Phone ______________________________

Email ______________________________

Address:

Street_____________________________________________________

City______________________State__________Zipcode____________

________________________________________________________________________________________________

Class/Workshop 1:

 Title __________________________________________ Teacher_______________________________

 

 Day(s) _____________________________Times_________________________Cost______________

 

Class/Workshop 2:

 Title __________________________________________ Teacher_______________________________

 

 Day(s) _____________________________Times_________________________Cost______________

 

 

Class/Workshop 3:

 Title __________________________________________ Teacher_______________________________

 

 Day(s) _____________________________Times_________________________Cost______________

 

 

Payment type:

 cash  check (# _______________)   credit card

Type of credit card:   Visa   Mastercard   Discover

Credit card number: ____ ____ ____ ____    ____ ____ ____ ____   ____ ____ ____ ____   ____ ____ ____ ____

Expiration date: ____  ____ / ____   ____  Security code ____  ____  ____

 

Total cost: _________________ Date paid ___________

 

Blue Raven Art School

720 E Prince Road       Tucson Arizona 85719

520-623-1003       Lynne@BlueRavenArtSchool.com