After you have called about availability in the class/event,
Use this form to register by printing and filling out; then...........
Mail to: Liverpool Art Center 101 Lake Drive, Liverpool NY 13088
Payable to: Artistic Innovations LLC (315)234-9333_______
PRINTABLE REGISTRATION FORM for ALL CLASSES & EVENTS:
You can also COPY/PASTE this form into WORD and email completed form
ALL INFORMATION IS REQUIRED
_ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _ _
******PLEASE INITIAL HERE AFTER READING OUR POLICY PAGE ( )****
Class/Event Name: ( ) Start Date: ( )
Participant’s Name: ( )
Parent Name (if applicable) ( )
Full Mailing Address:
Street Address: ( )
City: ( ) State: ( ) Zip: ( )
Email : ( )
Home Ph: ( ) Cell Ph: ( )
Emergency Contact: name and cell# ( )
Fee is enclosed ( ) Fee not Enclosed ( )
******Please be aware that if your fee is not enclosed, your space
in class is NOT secured
******Please see LAC Policy & Regulations page for registration details
*******Did you call to see if there is space in your desired class?
LINK
Questions, special arrangements or special notes:
___________________________________________________________________________________
DATE RECEIVED:____________________ PAID:_____
START DATE:__________________________
