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