Class Registration Form

South County Art Association

Class Registration

Please return this portion with payment to:

South County Art Association
2587 Kingstown Rd.
Kingston, RI 02881

Student's Name
Phone

Member: Yes No Today's Date:

Address

City
State

Zip

If student is under 18 years of age:

Student's Age

Parent's Name

Class Title		Cost	(does not include materials)
Class Title		Cost	(does not include materials)
	Total Amount Enclosed:

Method of Payment:	Check	(payable to: SCAA) Check Number
	VISA	Account Number	Exp Date	3-digit CVV
	MASTERCARD
Signature of Cardholder

Please note: Our insurance company does not allow the participation of any student under 16 years of age in pottery classes which use the throwing wheels.

Payment must be included by check or credit card with registration to reserve your place in a program. SCAA reserves the right to cancel program in case of insufficient enrollment. Refund Policy: 100% if class is canceled; 90% for withdrawal at least two weeks before the start of the first class. No Refunds after two weeks before the start of your class, although a credit towards future classes may be obtained if the class has the minimum number of students to run without you. You will be contacted if a session is canceled or full and your money will be returned. Otherwise, come to class with your supplies on the date and time scheduled. For information on supplies or for any other questions, call 783-2195, or email us at socart@verizon.net and we will get back to you as soon as possible.

South County Art Association

Class Registration Form

South County Art Association