Summer Registration Form

Name_____________________________________________

Address___________________________________________

__________________________________________________

Email_____________________________________________


Phone Number_____________________

Registration Fee $10.00______________


Please fill in below what classes you will be attending and include day and time of classes.


Class #1__________________________________________


Class #2__________________________________________


Class#3___________________________________________


Class#4___________________________________________


All Payments must be made on your first day of summer class. If payment is not made, without an acceptable arrangement, you will not be allowed to participate until payment is received.


Parents Signature:__________________________________


47 Main Street 
Amesbury, Ma 01913
978-388-9779

Summer Registration Form