Print Form, Fill Out, and Mail along with payment to address below:
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Ginzler Studio Gallery Art Class Dorene Ginzler, BFA, Artist / Teacher 364 E. Palmetto Park Rd, Suite #4 Boca Raton, Florida 33432 561.613.9729 Registration Form Name___________________________________________
Address_________________________________________ ________________________________________________ Phone #_________________________________________ E-Mail:__________________________________________
Level of Ability_____________________ Areas of Experience – Check all that Apply: Drawing___ Painting___ Sculpture____ Pottery____ Design_____ Music____ Dance____ Theater____ Photography____ Video/Film____ Crafts____ Gardening____ Other____________________________________________
Select Day and Time which works for you: Monday____ Tuesday____ Wednesday____ Thursday____ Friday_____ Saturday_____ Sunday______ Morning_______ Afternoon___________ Evening________ Materials List (print and shop) -------------------------------------------------------------------------------- Payment due in full first day of class:
Paid: $__________cash or check)
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