To register online (preferred), please follow this link: Online Fall 2008 Registration
To register by mail for classes, please print out both pages and provide the following information:
Name(s) of Parent(s): __________________________________________________________________________
Address: ____________________________________________________________________________________
City: _________________________________ State_____________ Zip/Postal Code ______________________
Home Phone_________________________________________________________________________________
Work Phone_________________________________________________________________________________
Cell Phone__________________________________________________________________________________
Email______________________________________________________________________ (Required for Paypal)
Emergency Contact____________________________________________________________________________
Emergency Phone_____________________________________________________________________________
How did you hear about us? _____________________________________________________________________
Whom may we thank for your referral? ____________________________________________________________
Name of First Child: __________________________________________________________________________
Preferred Nickname: __________________________________________________________________________
Date of Birth ____________________________________ Shirt Size:____________________________________
Food Allergies:________________________________________________________________________________
Class/Day/Time:______________________________________________________________________________
Name of Second Child :_________________________________________________________________________
Preferred Nickname : __________________________________________________________________________
Date of Birth ____________________________________ Shirt Size _____________________________________
Class/Day/Time:_______________________________________________________________________________
Name of Caregiver attending class other than parents :_________________________________________________
Any additional information about your child you would like to share with us: _________________________________
____________________________________________________________________________________________
Payment Options: Full Payment with Enrollment: _____________________________________________________
Option A: $75 Deposit with Enrollment, Balance by first class in September:___________________________________
Option B: $75 Deposit with Enrollment, Balance split into two payments, first payment due by first class in September,
second payment due by 10/04/08: _________________________________________
Option C: $75 Deposit with Enrollment, Balance split into three equal payments, first payment due by first class in
September, second and third payments due by 10/04/08 and 11/04/08: ___________________________
Option D: $75 Deposit with Enrollment, Balance split into four equal payments, first payment due by first class in
September, second, third, and fourth payments due by 10/04/08 , 11/04/08, and 12/04/08:____________
Regardless of which option you choose, an initial $75 deposit for your child's home materials is required, and the first
installment is due by the date of the first class. In some cases, due to later registration, this might result in the home
materials deposit and the first installment being due and payable at the same time.
Total Tuition Enclosed:__________________________________________________________________________
I understand that my child's place in class is not guaranteed until full payment is received.
* Photo Release: I do____ do not____ give permission for my child/ren to be photographed for promotional materials including web site postings. I do so without expectation of compensation & with the understanding that these photos will be used exclusively by Masterworks Studio in weekly emails to our class. I also acknowledge that Masterworks Studio may choose not to use my photo at this time, but may do so at its own discretion at a later date. I understand that no postings on the Masterworks Studio website will be done without my express permission. I also understand, however, that once my image is posted on Masterworks Studio's website, the image can be downloaded by any computer user. Therefore, I agree to indemnify and hold harmless from any claims Merri Williams or Masterworks Studio. By submitting this form, I signify that I agree to these policies.
Checks should be made payable to Masterworks Studio and mailed to 4604 Thompson Mill Road, Decatur, GA 30034-2521. For your convenience, if you prefer to pay online with a credit card, please visit our Class Schedule page on our website and find your preferred class to register. Confirmation of your child's enrollment will be sent online.
I have read the policies above and am in agreement with them.
Signed ____________________________________________________________________________Date___________________________________
Thank you for your registration! Copyright © 2008 Masterworks Studio, All Rights Reserved. Rev:7/04/08