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Fall/Winter 2005 :: Join any time! Art Club meets once a week for one hour.
Many children are having so much fun they ask to stay for two hours.
No problem! Simply double the fee to book two-hour sessions.
Fees :: Art Club :: Eight session package :: $105 [ + $15 materials fee ]
Art Club :: Single session :: $17 [ plus materials ]

Individual instruction is also available :: $25 per hour [ plus materials ]
Schedule ::
Saturdays
11am
12pm
1pm
Sundays
11am
12pm
1pm
Registration ::
Just print out this page and select which session(s) you'd like your child to attend. Group size is limited.
Please also indicate a second time/day option incase your first choice is already booked up.

Child's Name_______________________________________ Date of Birth_________________Boy   Girl

Age __________ Grade (Fall '05) ___________ School _____________________________________________

Parent/Guardian's Name(s) ___________________________________________________________________

Address __________________________________________________________________________________

Home phone ___________________ Business Phone ____________________ Cell _____________________

E-mail address _____________________________________

Pick-Ups :: Please list any and all persons who have permission to pick up your child. If none listed, we assume the parent or guardian named above is the only person permitted to pick up this child after class.

Name _______________________________________________________ Relationship __________________


Payment :: $120 is due at time of registration [ $105 for 8 sessions + $15 materials fee ]

I’ve enclosed check # ____________ for $________________ made payable to Colleen McGunnigle.

Please enroll my child in the session(s) checked above.

Signature :: ______________________________________________________________________________


Please print out and complete this form, enclose your check and
mail registration to ::

Artesian Design, 15 Westerly Road, Hampton Bays, NY 11946.
Confirmation will be sent upon receipt of your registration.

Questions and Information :: 631/728-2805
info@youngartistsclub.com
fax :: 631/728-2805

Group size is limited– register early to secure your spot!


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