Spring & Summer brochure - Currier Museum of Art
Spring & Summer brochure - Currier Museum of Art
Spring & Summer brochure - Currier Museum of Art
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Registration Form<br />
Become a <strong>Currier</strong> <strong>Museum</strong> <strong>of</strong> <strong>Art</strong> member and<br />
receive 10% <strong>of</strong>f classes at the <strong>Art</strong> Center!<br />
$30 Student (18+)*<br />
$45 Individual*<br />
$65 Dual Family**<br />
$100 Contributor**<br />
$175 Sponsor**<br />
$350 Patron**<br />
$1000 Benefactor**<br />
*Discount for card holder only<br />
**Discount extended to family<br />
Subtract 10% <strong>of</strong>f your class if you are<br />
a member, or signing up today.<br />
Please call 603.669.6144 x122 or x152 for info.<br />
Parent/Guardian’s Name<br />
Address<br />
City, State<br />
Zip Telephone Work/Cell<br />
Email<br />
Emergency Contact Name and Number<br />
Date<br />
Please list any special needs - allergies, ADHD, medical or behavioral issues <strong>of</strong> the<br />
student(s):<br />
<strong>Art</strong> Foundations / Weekly Classes<br />
Student(s)<br />
Age(s)<br />
Class(es) Session/Date Amount<br />
<strong>Art</strong> Camp for Kids! (Ages 5-12)<br />
Student/Session(s) Age Full Day Half Day Amount<br />
Student/Session(s) Age Full Day Half Day Amount<br />
Student/Session(s) Age Full Day Half Day Amount<br />
After Camp Care $25<br />
<strong>Art</strong>Ventures! for Pre-Teens (Ages 12-15)<br />
Amount<br />
Student(s)<br />
Age(s)<br />
Class(es) Session/Date Amount<br />
<strong>Art</strong> School for Teens & Adults<br />
Student(s)<br />
Age(s)<br />
Class(es) Session/Date Amount<br />
<strong>Art</strong> in the Evening for Teens & Adults (15+)<br />
Student(s)<br />
Age(s)<br />
Class(es) Session/Date Amount<br />
Workshops / Vacation Week<br />
Student(s)<br />
Age(s)<br />
Class(es) Date/Time Amount<br />
Method <strong>of</strong> payment: Cash (enclosed) Check (enclosed) Visa<br />
Subtotal<br />
MasterCard Discover American Express<br />
Discount<br />
Credit Card #<br />
Expiration Date<br />
Grand Total<br />
Security Code<br />
For tuition assistance information, please check.<br />
(3 - 4 digits on the back <strong>of</strong> your credit card)<br />
For Office Use Only<br />
Mail to: <strong>Currier</strong> <strong>Museum</strong> <strong>Art</strong> Center, 180 Pearl Street, Manchester, NH 03104<br />
Call: 603.669.6144 x122 or register online at www.currier.org.<br />
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