FREDERICK l’Ecole des Arts, Inc.
P O Box 559 -- Arnaudville LA 70512
REGISTRATION FORM AND AGREEMENT
Fall 2009 -- Photography Workshop -- Philip Gould
Name:
Address:
Work No. Cell No. Fax No.
Email Address:
Website:
Please tell us a little about yourself:
Workshop Fee: $100.00
Would you also like to subscribe to membership in Frederick L’Ecole des Arts, Inc.?
Frederick L’Ecole des Arts, Inc., Membership Fee: $25.00
CLICK HERE for Membership Application.
Waiver: I assume all risks associated with participating in this event and waive and release Frederick l’Ecole des Arts, Inc.,
the presenter, the property owner and any other person or persons affiliated with this event from all claims and liabilities of
any kind arising out of my participation. I also understand that fees are nonrefundable.
Date:________________________ Signature: _______________________________________
(Parent/Guardian if under 18 years)
To be signed on the first day of class.You can also print the form and mail registration, along with your fee payment, and membership (where applicable) to:
Frederick l'Ecole des Arts, Inc.
P.O. Box 559
Arnaudville LA 70512-0559
