School of Service / Access Arts
CLASS ENROLLMENT FORM
(Please use a separate form for each student)
1728 McAlester Street   
Columbia, MO 65201   
phone: (573) 875-0275   
Student Name: Special needs?
Parent Name:
(for students under 18)
Address:
City:
State: Zip Code: How did you
find us?
Telephone:
E-mail:

Winter 2010 Session I, Eight Weeks:  January 4 - February 27

CLASSES FOR CHILDREN & YOUTH

    Parent/Child Pottery, Mondays 4:30-6:00 ($100)     Youth Beg. Pottery Throwing, Sat. 12:00-1:30 ($90)
    All Levels Pottery, Tuesdays 4:30-6:00 ($75)     Youth Adv. Pottery Throwing, Sat. 2:00-4:00 ($95)
    All Levels Pottery, Wednesdays 4:30-6:00 ($75)     Drawing/Mixed Media, Mondays 5:30-6:30 ($75)
    All Levels Pottery, Fridays 4:30-6:00 ($75)     **Weaving, Tuesdays 4:30-6:00 ($75)
    Special Needs Pottery, Thursdays 4:30-6:00 ($75)
 
     **Weaving class requires instructor's permission
 
CLASSES FOR ADULTS

    All Levels Wheel Pottery, Mondays 1:00-3:00 ($120)     **Weaving, Mondays 4:00-6:00 ($95)
    Beginning Wheel Pottery, Mondays 7:00-9:00 ($120)     **Weaving, Mondays 7:00-9:00 ($95)
    All Levels Wheel Pottery, Tuesdays 7:00-9:00 ($120)     **Weaving, Thursdays 4:00-6:00 ($95)
    Hand-Building Pottery, Wed. 6:30-8:30 ($125)     **Weaving, Thursdays 7:00-9:00 ($95)
    All Levels Wheel Pottery, Thurs. 7:00-9:00 ($120)     **Weaving, Special Needs, Arr. w/ Instructor($95)
    Hand-Build & Wheel Pottery, Fridays, 2:00-4:00 ($120)      **All weaving classes require instructor's permission
    Pottery, Special Needs, Mondays 7:00-8:00 ($75)  
    Mixed Media, Special Needs, Wed. 7:00-8:00 ($75)     Digital Photo & Photoshop, Tues. 7:00-9:00 ($100)
    Beginning Jewelry, Tuesdays 6:00-8:00 ($120)     Intro to Graphic Design, Wed. 6:00-8:30 ($100)
    Jewelry Casting, Wednesdays 6:30-8:30 ($120)     Serigraphy/Poster Making, Thursdays 6:00-8:30 ($120)
    Story Writing, Thursdays 6:00-8:00 ($80)     Drawing, Wednesdays 9:30-11:30 ($95)
Print and mail with class fee to address above, OR it online and phone in payment.
NOTE:  Class place is not reserved until payment has been received at Access Arts.  If you wish to use a credit card, please fill in (by hand) the form below for mailing, or phone the information to the office at (573) 875-0275.  We will mail a receipt to confirm all credit card payments.  A $30 non-refundable fee will be applied for cancellation of any pre-registration less than one week before start date of class.
Please charge payment for the checked classes to the following credit card:

Credit card type (circle one):           MasterCard             Visa             Discover

Card number:  _____________________________________________

3-digit code on the back:  ___________     Exp. date:  _____________

Name on card:  ____________________________________________


Signature:  ________________________________________________