Milledgeville ACT Registration Form

Complete the following form to register for ACT and mail it with your registration fee back to:

Milledgeville - Baldwin County Allied Arts

201 North Wayne Street

Milledgeville, GA 31061

478-452-3950 or email  alliedarts@windstream.net

check ONE

  □ AGES: 6 - 11 Session I:  August 23 - October 18, 3:00 p.m. - 4:00 p.m.

AGES: 12 & up Session II: August 23 - October 18, 4:00 p.m. - 5:30 p.m.

Student's Name ______________________________________ Age _______

Phone # (home)___________________ email address: ___________________________

Parent's/Guardian Daytime or cell # ________________________

Address _____________________________________________

Parent/Guardian Name ______________________________

School ________________________

Date_____________ Fee paid:_____________

Signature of Parent/Guardian________________________________

Allied Arts will accept a deposit to reserve a space in a camp. It is our policy to request payment in full for camps once the class has been filled and a waiting list exists. All camps must be paid in full 5 business days prior to the beginning of class.

Make checks payable to: Allied Arts

Important Information:

Camp Location: Allen's Market Building, 101 W. McIntosh St.

Registration Location: Allied Arts, The John Marlor Art Center, 201 N. Wayne St.

Cancellations cancellation of class registration must be done three (3) business days before the first class for a refund of the registration fee. Allied Arts reserves the right to alter or cancel a scheduled class as necessary, in which event a full refund of the registration fee will be given.

Absences - Allied Arts is not responsible for classes missed due to absences. Please discuss any unavoidable absence with the instructor.