INSPIRE!
Studio of the Arts
Registration Form: FOR CLASSES, CAMPS & WORKSHOPS
INSPIRE!
Studio of the Arts
Registration Form: FOR CLASSES, CAMPS & WORKSHOPS
DUPLICATE
AS NEEDED • ONE STUDENT PER FORM
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STUDENT’S NAME
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HOME ADDRESS: STREET
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HOME ADDRESS: CITY/STATE/ZIP
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PHONE: HOME
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PHONE: CELL PHONE:/WORK
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EMAIL
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BIRTHDATE
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SCHOOL PRESENTLY ATTENDING/EMPLOYER
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PARENT GUARDIAN NAME 1
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PHONE: CELL PHONE: WORK
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EMPLOYER
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PARENT GUARDIAN NAME 2
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PHONE: CELL PHONE/WORK
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EMPLOYER
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EMERGENCY CONTACT
LOCATION
COURSE TITLE TUITION/ FEE SESSION
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Now in
(2) Locations! or our
new
Tuition/Fee Due: $_________________________
Discount/Credit:*
$(_________________________)
TOTAL
$__________________________
Payment Methods
Cash
Checks payable to: Inspire! Studio of the Arts
PayPal to: inspire06@comcast.net
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SIGNATURE
Mail to:
Inspire! Studio of the Arts LLC •
www.inspirestudioofthearts.com