Registration Form

WPC Art Class Enrollment Form

 One enrollment form per student.

Secure your space in a class today by 

emailing a request for confirmation to:

Hands4paint@yahoo.com 

Fill-out this registration form and mail it with your check to: 

WPC Art Program 1100 Shasta Ave. San Jose, Ca. 95126

-Adult Workshops-

□ Japanese Brush Painting

 July 16th & 23rd...5:30-7pm

Fee:  $25     $_______

□ Simple Cartooning

           Fee:$25             $_______

   □  Teen Studio (13-17 years)

Thursdays...3:30-5:30pm

                                                       Monthly Fee: $85      $_______

                                 Drop-in Fee: $23 per visit

$_______

-Children's Classes-

    □  Cartooning Around (8-12 years)

             Total Fees $ _______

Please make checks payable to: WPC

WPC Art Class

           Registration Form 

                        Student's Name_______________________ 

                     Students under 18 years:                          

              Grade____     Age____    Sex  M / F                     Parent/Guardian’s Name                                                                    __________________________

Mailing Address

 ________________________________

Home Phone (___)_________________ 

Cell Phone (___)___________________ 

Email address

                           ________________________________________ 

                                         (Please print)

Please sign here to indicating that you understand no make-ups or refunds 

        are available for student-missed classes: Sign/Date:_________________________________

Mail payment & completed form to: 

WPC Art Program

1100 Shasta Ave.

San Jose, Ca. 95126

Forms and payment may also be dropped off at church office 10am-4pm, Tuesday-Friday.