REGISTRATION FORM
ARTS PROGRAM
The Bridgton Art Guild 2011
www.gallery302.com 207-647-2787
Please fill in the information below and send or deliver to:
Att: Arts Program, Bridgton Art Guild, P.O. Box 844, Bridgton, ME 04009
Today’s Date:
Class:____________________________________________ Instructor:__________________
Class Fee:_______________________ Class Dates:
NOTE: Classes that have specific dates and time frames with an overall Class Fee need to be paid in advance. Some classes require a minimum attendance, and that fee is paid in advance and is not refundable. All materials fees are paid directly to the instructor at the beginning of the class.
******************************************************************************
Student Name: ________________________________________________________________
Student Address: ______________________________________________________________
Student Phone: _______________________________________________________________
Student Email: ________________________________________________________________
You will receive a confirmation receipt via email when we receive your application and payment.
Please make checks payable to the Bridgton Art Guild and note that it is for Arts Program and which class. You may pay by credit card or cash at Gallery 302. If the class is cancelled for any reason, you will be notified and your payment returned.
******************************************************************************
Do not write below this line - For Accounting Only
Date Rec’d ______________________ Amount Rec’d _____________________________
Payment Type: check Visa MC cash other
Instructor: ____________________________ Class Dates:
Total Hours: __________________________ Dispersed: ____________________________
Ck # ____________ Amt: ________ Date: ________
Rev. 6/8/2011
ARTS PROGRAM
The Bridgton Art Guild 2011
www.gallery302.com 207-647-2787
Please fill in the information below and send or deliver to:
Att: Arts Program, Bridgton Art Guild, P.O. Box 844, Bridgton, ME 04009
Today’s Date:
Class:____________________________________________ Instructor:__________________
Class Fee:_______________________ Class Dates:
NOTE: Classes that have specific dates and time frames with an overall Class Fee need to be paid in advance. Some classes require a minimum attendance, and that fee is paid in advance and is not refundable. All materials fees are paid directly to the instructor at the beginning of the class.
******************************************************************************
Student Name: ________________________________________________________________
Student Address: ______________________________________________________________
Student Phone: _______________________________________________________________
Student Email: ________________________________________________________________
You will receive a confirmation receipt via email when we receive your application and payment.
Please make checks payable to the Bridgton Art Guild and note that it is for Arts Program and which class. You may pay by credit card or cash at Gallery 302. If the class is cancelled for any reason, you will be notified and your payment returned.
******************************************************************************
Do not write below this line - For Accounting Only
Date Rec’d ______________________ Amount Rec’d _____________________________
Payment Type: check Visa MC cash other
Instructor: ____________________________ Class Dates:
Total Hours: __________________________ Dispersed: ____________________________
Ck # ____________ Amt: ________ Date: ________
Rev. 6/8/2011
