Stitch Cafe Artisan Studio Registration Form

Date:	Office use only:
STUDENT INFORMATION
**Name:	**Phone: Cell Home Work
**Email Address:	**2nd phone: Cell Home Work
Referred to Artisan Studio by: *
*Friends can qualify for Artisan Studio referral benefits only if you are not already in our database and only if you list their full name on this form.
CLASS INFORMATION
CLASS	DATE	TIME	SPECIFY FORM OF PAYMENT





I have signed and enclosed the required Waiver with this registration form**: Yes Will sign prior to class N/A
I affirm that I have read and understand the Policies of the Artisan studio and I agree to them. **
** Required fields

OFFICE USE ONLY
Fee paid by: paypal check cash CC Initials:
Waiver signed	Materials Fee Paid
Confirmation Email Sent: Date: __________________ By: ___________________
# of copies made: __________