Pre-School Classes

Pre-School Etiquette
Ages 3-5
Enrollment Form
click here to print this form

I am enrolling my child in: Date of Class_________________________________

Name

Age Grade Birthday

Address

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 to Hold Space in Class.
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 Deposit is non-refundable.

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