Art with Bonnie - Art Classes Registration Form              www.artwithbonnie.com   613-826-6662


Name ……………………………………………………………………….Age (if under 14) ……………….
If child is under the age of 14yr. please include parents’ names.

Parent 1…………………………………………………………………………………………………….

Parent 2…………………………………………………………………………………..

Address ………………………………………………………………………………….

City / Town…………………………………………. Postal code …………………….

Phone number 1………………………………………………………………………..

Phone number 2………………………………………………………………………….

Course name ……………………………………………………………………………..

Date………………………………………………. Time ……………………………………

Location (circle one)      Osgoode         Kemptville

E-mail ……………………………………………………………………………………………..
(Include email address only if you wish to receive information about classes, approx. 4-5 times per year.)

Payment ……………cash …………….check (payable to the instructor, Bonnie McQuillan) Cheques    post-dated no later than
two weeks prior to starting will be accepted (four weeks for summer camps).

Cancellation policy : You may cancel a course no later than one week prior to the course start date three weeks prior to
summer camps and March break camp and receive a refund less a $20 administration fee. After one week prior to the course
start date and  three weeks prior to summer camps and March break camp no refund will be issued.  If we cancel a class you
will receive a full refund. If a class minimum is not met it will be cancelled. Please register early to avoid class cancellation.

How to Register  
1.        In person: Drop off form and payments at Osgoode Foodland in the Osgoode Market Square Mall
       5673 Osgoode Main Street
2.        By mail: Mail form and payment (do not mail cash) to Box 298 Osgoode Ontario K0A 2W0
registration submissions will be confirmed by phone
When mailing or dropping off please call (613)826-6662 to let us know registration forms are on the way and we will put you or
your child on the class list to hold your place.

Office use
(Pd……………….)    (Np……………….. )  (postpd………………….date…………………………………………..)
Reg confirmed  …………………       Date…………………………..
Who…………………………………………………………………………. How…………………………………………………………