coming soon -- ONLINE REGISTRATION!
FILL IN COMPLETELY
PRINT AND SEND TO:
ART & SOUL
PO BOX 312
BRIDGEPORT WV 26330
NAME_________________________________________AGE_______
PARENT(IF UNDER 18)________________________________________
ADDRESS________________________________________________
EMAIL___________________________________________________
PHONE______________________CELL________________________
CLASS DESCRIPTION_______________________________________
DATES______________________________TIME________________
CHECK ONE: kids___________juniors__________adults__________
PAYMENT: check#_____________visa________mc______
CARD NUMBER____________________________________________
EXP_____________________________SECURITYCODE___________
