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

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