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I am enrolling my child in: Date of
Class __________________________
(This form is for our one day classes, please fill our out
"Summer Camp Registration Form to
enroll in our Summer Etiquette Camp. You will find the link on
our Home Page.)
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Name
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Age
Grade
Birthday
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| Address
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City, State & Zip
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Parent's Names
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| Home
Phone #
Work #
Cell #
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E-Mail Address for Class Confirmation
Where did you hear about us?
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Hobbies and Awards
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| What
would you like your child to gain?
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any food allergies, medical conditions, or current medicines
your child is taking:
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Please Mail Form with Class Fee or $25 Deposit to Hold Space in Class.
Credit Card Enrollment can be Faxed.
Please Make Checks Payable to Academy of Etiquette
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Amount Enclosed____________________
Circle Credit Card - MC Visa
Discover AMEX
Credit Card #__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __Expiration
Date_____________
Name as it appears on the card:___________________________ Charge Amount
___________
Signature____________________________________________ Date
___________________
*Class cancellation must be made 72 hours prior to class time. The
Deposit is non-refundable.
Post Office Box 608604 Orlando, Florida 32860 Fax
407-884-5490 www.academyofetiquette.com
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