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First Name:___________________________

Last Name:___________________________   Age:_____________

Email:_________________________________Phone:________________

***Pick-up Driver Phone Contact:_______________________________

Supply Kit:  please indicate which supply kit you would like to purchase ($150.00)

Watercoulour Kit_____  Acrylic Kit_____  No purchase_____

Payment: please note that payment is due before the start of the first class ($175.00)

Please indicate your method of payment:

Cash___ Cheque___ Credit Card ___ Debit___

Please read the following closely:

*No refunds after the first class

*If you have allergies, we have family dogs who love to visit and spend time in the studio during class