Yanshu Art Institute

 

Fine Art Class Registration Form 2004

Calendar:

Wednesday Jan. 7, 14, 21, 28; Feb. 4, 11, 25; Mar. 3, 10, 17, 24, 31; Apr.7, 21, 28; May. 5, 12, 19

Saturday   Jan. 10, 17, 24, 31; Feb. 7, 14, 28; Mar. 6, 13, 20, 27; Apr. 3, 10, 24; May. 1, 8, 15, 22

 

 

Student Name (English)__________________Student Name (Chinese)_______________

 

 

Age: _______ Gender: ____Date of Birth: ________

 

 

Home Address: ____________________________________________________________

 

 

Parents/Guardians: _________________________________________________________

 

 

E-mail: ___________________________________________________________________

 

 

Home Phone: _________________ Work/Cell Phone: ____________________________

 

Beginner or Advanced: _____________

 

 

Class Hour: Wednesday 1:50 pm to 2:50 pm 

                      Saturday 12:00 am to 1:00 pm                                        

 

Fees: $270.00 for 18 sessions (no refunds after one session )                                                                                           

 

 

 

 

 

Make check payable to Yanshu Hsu and send the check with registration form to Sammamish Chinese Academy, 4228 257^th PL SE, Issaquah, WA. 98029