Southwick Studio Registration Form *Please print this page, fill out the form, and mail it with your check or money order to the address below. For The Fall Teen Course Please Register by calling Acton Community Education @ 978-266-2525 Check the course(s) for which you are registering:
Name _______________________________________ Address _______________________________________ City/State/Zip _______________________________________ Phone: (home) __________________ (work) ___________________ E-mail: _________________________________ I understand the payment policy below. Signed __________________________________ Date ____________ Please make checks payable to: Andrea Southwick Southwick Studio 11 Half Moon Hill Acton, MA 01720 Payment Policy for Courses: A $100 Deposit is due with registration in order to hold a place in the class. The remainder of the fee is due on the first night of class. The $100 deposit is non-refundable unless the course is cancelled. The remainder of the fee is refundable for only two days after the first night of class. Payment Policy for Workshops: The total amount is due with registration and is non-refundable unless the workshop is cancelled. * Interview required for all classes. Call 978-266-1165; e-mail southwick@newview.org |