The Porcelain Art School of Indiana

2019 PASI Registration Form.docx (DOCX — 14 KB)
For printable version of form click the link above
REGISTRATION FORM
September 13-17, 2020
(Arrive on Sunday, Sept. 13 Classes Sept. 14-17)
NAME________________________________
ADDRESS_____________________________
CITY_________________________________
STATE & ZIP__________________________
HOME PHONE & CELL__________________
____________________________________
EMAIL_______________________________
EMERGENCY CONTACT & PHONE
_____________________________________
LIST SPECIAL NEEDS (FOOD ALLERGIES ETC.)
________________________________________
4 DAYS * M-T* Sept. 14-17
1.________________________________________________
2.________________________________________________
3.________________________________________________
4.________________________________________________
Make Checks Payable to:
PORCELAIN ART SCHOOL OF INDIANA
Send $75 non-refundable deposit
(or full tuition) and this registration form to:
CAROLYN JUNG
4301 E CR 150 N
AVON, IN 46123