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:________________________________
35 Water Street
Amesbury, Ma 01913
978-388-9779Pl
