This is the information we need (print for hard copy)

Student:_____________________________________Grade____School:_____________
Parent/Guardian:_____________________________________Phone________________
EmergencyContact___________________________________Phone__________________
Student will be picked up by______________ Walk______
Other________________
Registration form must be returned in the MAIL.
Payment Options are:
$______ Paid in Full TO:
ART FOR KIDS, INC, P.O. BOX 756, Mukilteo, WA 98275
____ If paying in Full with a Credit Card @ www.artforkidsinc.com please fill out top portion, sign on the line below and return this registration to the address above.
_____________________________________________________


::Purchase  Session
After School Program
When paying with credit card there is a $2.00 processing fee already calculated into prices below
Pay In Full Options
$164.00 = 12 Week Session               $137.00 = 10 Week Session               
$83.00 = 6 Week Session                   $56.00 = 4 Week Session
Payment Plan Options
For 8 Week Class :
$55.00 Due Now  & $55.00 Due on Week 4 =

For 10 Week Class:
$45.60 Due Now & $45.60 Due on 4th & 7th Week =

For 12 Week Class:
$54.60 Due Now & $54.60 Due on 4th & 8th Week =

$110.00 = 8 Week Session