Please check here if you are a new student or if your address has changed.Please Print This Page to Register
| Name of Student | _________________________________________________________ | |||
|
Birthday (if under 18) | _________________________________________________________ | |||
| Parent or Guardian | _________________________________________________________ | |||
| Address | _________________________________________________________ | |||
| City | ________________________ | Zip_____________________________ | ||
| Home Phone | ________________________ | Cell Phone ___________________ | ||
| E-mail Address | _________________________________________________________ | |||
| Emergency Contact | ________________________ | Emerg. Contact Phone ________________ | ||
| Class (or Classes) | _________________________________________________________ | |||
| Tuition Cost: | ____________ |
| Total Due: | ____________ |
I agree for my child to receive instruction and to participate in the programs of Roaring Mouse Creative Arts Studio LLC. For and in consideration of my child’s instruction and participation, I hereby release and hold harmless Roaring Mouse Creative Arts Studio LLC, its owners, agents and instructors from all claims and liability arising from my child’s instruction and participation in Roaring Mouse Creative Arts Studio’s programs.
Parent/Guardian Signature ___________________________________ Date __________
How did you hear about RMCAS ______________________________________________
Please check here if you are a new student or if your address has changed.
To register, please print and fill out this page. Enclose this registration form along with
your check, made payable to RMCAS, and mail to:
| Roaring Mouse Creative Arts Studio (or RMCAS) | |
| PO Box 51139 | |
| Seattle, WA 98115 |
Thank you!
Note: Pre-payment is required. Classes will be filled on a first come-first served basis. Tuition will not be prorated or refunded due to absence. Full refunds will be granted for cancelled classes. A $10.00 handling fee will be deducted from tuition refunds if a student withdraws from a class. Registrations for afterschool and evening classes must be received two weeks prior to the start of class. Partial Scholarships are available. Call Lassie Webster at (206) 522-1187 for details.
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