Art History Journey Enrollment Form

Art History Journey Enrollment Form

Student Name: ___________________________________
Parent Name: ____________________________________
Student Age/Grade: ____________________
Street Address: ___________________________________
City, State, Zip: ___________________________________
Home Phone:_____________________
Work Phone:_____________________
Cell Phone:_______________________
Email address:_____________________

Full Session $195.00  
Morning 9-11:30am____ 
Evening 6-8:30pm_____

Individual:
Semester 1:
Session 1  Greek  ………………….$28.00
Morning 9-11:30am____Evening 6-8:30pm____

Session 2  Egyptian ………………. $28.00
Morning 9-11:30am____Evening 6-8:30pm____

Session 3  Pre-Columbian/NA….$28.00
Morning 9-11:30am____Evening 6-8:30pm____

Session 4  Asian…………………….$28.00
Morning 9-11:30am____Evening 6-8:30pm____

Semester 2:
Session 5  Renaissance……………$28.00
Morning 9-11:30am____Evening 6-8:30pm____

Session 6  Impressionism…………$28.00
Morning 9-11:30am____Evening 6-8:30pm____

Session 7  Cubism………………….$28.00
Morning 9-11:30am____Evening 6-8:30pm____

Session 8  Contemporary…………$28.00
 Morning 9-11:30am____Evening 6-8:30pm____

Total $ ____________

Fees: A 50% deposit is required to hold your spot in a class. Deposits for any/all courses in semester 1 are due by September 1, 2011. Deposits for any/all courses in semester 2 are due by January 1, 2012. Due to limited class size and materials purchase, all deposits are non-refundable. Payment may be made with Paypal when completed enrollment form is sent through e-mail or checks should be made out to Kijsa Housman and sent, along with your completed enrollment form,  to: 2501 Jefferson Street, Paducah, KY 42001. Balance of fees are due on first day of class.

I acknowledge that I have read the above:

Signature________________________________

Email Kijsa Housman or call (270)331-2787 for more information.

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