Fall - Spring -- REGISTRATION FORM

Artspace Lesson and Class Registration Form

Fall Spring Summer

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 $

* 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