Fall - Spring -- REGISTRATION FORM

Artspace Lesson and Class Registration Form

* Check this box to receive your 5% discount if you have donated $50 or more to Artspace.

Artspace Community Arts Center 15 Mill Street, Greenfield, MA 01301 - (413) 772-6811 - www.franklyarts.org

Student's Name:
Address:
Town:		State:	Zip:
Home Phone:		Work Phone:
E-mail:
Class/Lesson:		Instructor:
If private lesson, preferred day and time:
Please complete if student is under age 18. Student's Age:
Parents' Name:
Address:
Town:		State:	Zip:
Class/Lesson Fee	$
5% Artspace Donor Discount *
Registration Fee	$
Materials Fee	$