Registration

REGISTRATION FORM

You can print out this

form or download a full Class Schedule and Registration Form. All completed forms must be delivered, whether by mail or in person, to the Art Center.

Complete the form below and return to the Bicentennial Art Center, 132 South Central Avenue, Paris, IL 61944, by mail or in person. Payment must be made at the time of registration. No registration is complete until all fees are paid. Payment may be made in cash or by check made payable to: Paris Art Center. Registration forms must include the signature of the parent or guardian. For more information, call the Art Center at 217-466-8130 between 10:00 a.m. and 2:00 p.m., Tuesday through Friday, or contact the Art Center by e-mail at parisartcenter@verizon.net. Please have your child wear old clothes or bring a paint shirt so that they do not ruin their clothes.

Name: _______________________________________ Age: ____________

Address: _______________________________________________________

City: __________________________ State: __________ Zip: __________

Daytime Phone: ____________________ e-mail: ____________________

Parent or Guardian Signature: ___________________________________

Allergies or other conditions to be aware of: _____________________

_________________________________________________________________

Class Number Title Fee

__________________________________________________________________

Total Fee: $______________