Children’s Etiquette Registration

(ages 5-10)

I am enrolling my child in: Date of Class E.g. 2014-03-25

(This form is for our one day classes, please fill our out Summer Camp Registration Form to enroll in our Summer Etiquette Camp.)

Birthday E.g. 1990-03-25
City, State & Zip
Parent's Name*
Parent's Email*
Home Phone #
Work #
Cell #
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 Make Checks Payable to Academy of Etiquette

**Space is limited, so return this form with required registration fee. Complete a separate form for each child Registration is due 3 weeks before each class begins. Late registrations will be accepted, space permitting. If cancellations are made prior to 3 weeks before start of specific class, parent will only receive a 50% refund of class fee. If parent cancels class after 3 weeks prior to start of specific class, the fee is non-refundable. Call Julie Dern at 407-884-4130 for additional information regarding Classes or Camps .

Discount Code:
Payment Option*