Registration Form
*Name__________________________________Age**____Birthdate**___________
Address__________________________________________________________
City__________________________________Zip__________________
Phone________________Emergency_______________Email***____________________
Classes registered for:
1._______________________________Start Date/Time_____________Fee________
2._______________________________Start Date/Time_____________Fee________
3._______________________________Start Date/Time_____________Fee________
*Check if first time student____ **Children only Total tuition___________
***If you wish to receive updates and news from the ArtQuest School
I have read, understand, and agree to the ArtQuest Policy:
______________________________________________
Signature, Parent or Guardian
Fill out form completely.
Make check payable to Greg Grant.
Questions? Call (386) 871-9906.
Mail form with check to:
ARTQUEST SCHOOL OF ART & DESIGN
571 LEEWAY TRAIL
ORMOND BEACH, FL 32174