I am enrolling my child in One Day Class: 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




   Age                                                         Grade                                                   Birthday 




   City, State & Zip  


   Parent's Names  


   Home Phone #                                        Work #                                                Cell #


   E-Mail Address for Class Confirmation                                  Where did you hear about us?  


   Hobbies and Awards  


   What would you like your child to gain?  


   List any food allergies, medical conditions, or current medicines your child is taking:


Please Mail Form with Class Fee
Credit Card Enrollment can be Faxed.
Please Make Checks Payable to Academy of Etiquette

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 Fee is non-refundable.

Post Office Box 608604 Orlando, Florida 32860   Fax 407-884-5490   www.academyofetiquette.com



Copyright 2000 Academy of Etiquette.
All rights reserved.
Revised: January 10, 2010 .