Fillable Art Class Registration Form printable pdf download

Art Class Registration Form

Prepayment with Registration is required for all art classes and workshops. If the art class is cancelled due to insufficient

enrolment or for other unforeseen circumstances, the registered participant’s payment will be returned or a full refund processed.

Participants may choose to transfer their payment to another class.

______________

Date:

Course: _______________________________________________________________

Name: _________________________________

Address: ____________________________________________________________

Postal Code __________________

Phone: __________________________

Email address: _________________________________

__________________

Course Fee:

Member $

Non-member $

How did you learn about this course? _________________________________________

Refund Policy: No refund will be given for an art course, class, program or workshop if notice of

withdrawal is not received at least one week in advance of commencement. All refunds are subject

to a $15.00 administration fee

Allergen Policy: The Lindsay Gallery advises all program registrants suffering from allergenic medical conditions, documented

or otherwise, that they register in art classes at their own risk. The Lindsay Gallery, its employees, instructors, contractors and

volunteers make no representations and will accept no liability regarding presence or absence of all allergens at facilities where

art programs take place.

I understand and accept the above Terms and Conditions

___________________________________________________

Signature of Participant

For Office Use Only:

I have read the above Terms and Conditions to participants registering by telephone, and s/he has agreed that s/he understands

and accepts them. A copy of this registration form will be attached to the credit card voucher. _________

Initials

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PAYMENT INFORMATION

Payment made by:

Cash

Cheque – please make Cheque payable to The Lindsay Gallery

Visa or MasterCard

Payment received by ____________________________________

Administrator or Volunteer’s Name

Card Number ___________________________________________ Expiry Date ___ Month ____ Year

CVVS (3 digit security # on back of credit card): _________

Art Class Registration Form- Adult2011(2)

Art Class Registration Form