Class Registration



Class:

Date:

Cost:
$0.00 (Member) $0.00 (Non-Member)

Discount:


Student Name:
Student Age:
if under 18
Parent Name:
if under 18
Mailing Address:
City:
State:
Zip:
Day Phone:
Evening Phone:
Email:
Emergency Contact:
available during class
Emergency Phone:
available during class

Allergies or health issues we should know about?

May the Holter photograph the student for purposes of documentation and promotion? Yes No

Preregistration is required for all Holter education workshops and classes. Register and pay for your workshop at least ten days before the first session. Full tuition will be refunded on any cancellation up to two weeks prior to beginning of class, afterwhich 40% of tuition will be refunded upon cancellation. Workshop participants - especially children - should wear clothing that can get dirty and paint-spattered. Washable materials are used whenever possible, but stains are inevitable.

We must have an emergency contact telephone number before a child can participate in a workshop. Holter staff and workshop instructors will refer any physical complaints to the emergency contact who will be responsible for treatment decisions.


© 2012 Holter Museum