Classes for Teens

Enrollment Form
Please print the form and register by mailing or faxing the completed form to the address below.

Teen Etiquette Class
I am enrolling my teen in: Date of Class:________________________________
Seminars offered at The Rosen Centre Hotel

Name ______________________________________________ Date______________
Age __________Date of Birth___________________Male or Female_______________
Grade_________________School__________________________________________
Address ______________________________________ E-mail ___________________
City, State, Zip__________________________________________________________
Parents Names: _________________________________________________________
Phone (work)_________________(home)__________________(cell)_______________
Food Preference (Circle One): Beef , Chicken, or Vegetarian
Special Dietary Requirements: ___________________________________________
List any food allergies, medical conditions, or current medicines your child is taking:
____________________________________________________________________
List skills you wish to gain from this seminar and your primary reason for enrolling:
_____________________________________________________________________
Where did you first hear about our school? ____________________________________
Hobbies and Awards: ____________________________________________________

Requested Seminar Date:_____________________________

Investment $185 per person ~ $175 each for two or more
Cost includes:

includes multi-course meal, dining tutorial,

workbook, award of completion, and instruction

Class Fee is due upon enrollment (Make checks payable to Academy of Etiquette & Protocol)

    ___ Enclosed is total investment in the amount of $__________
    Method of Payment (Circle One): * Check   Visa   Mastercard   American Express Discover
    Credit Card #_____________________________________ Expiration Date_________
    Name as it appears on the card:________________________ Charge Amount: ________
    Signature _________________________________________Date___________________

See Current Schedule for Upcoming Dates - (Private Consultations Available)
Reserve Your Space Now - Confirmation Mailed Prior to Class
Limited Space Available
Enrollment priority is based on the order in which form and fee is received.
*Cancellation must be made 72 hours prior to class time. Fee is non-refundable.

To Register - Send this form along with fee to:
Academy of Etiquette & Protocol
Post Office Box 608604 Orlando, Florida 32860
Phone 407 884-4130 Fax 407 884-5490 E-mail: information@academyofetiquette.com