Please fill out the registration form below and
mail with check of $55 [registration fee: $20
plus pattern workbook: $35*],  payable to
Patricia Wright.

                  PRE-REGISTRATION FORM
                                  2010-2011

(Please print)                                                                            

S
tudent's name: __________________________DoB:_______

Name of child's parent(s)/guardian:  ____________________

_________________________________________________

Address: _________________________________________

City and zip code: __________________________________

Phone number: ____________________________________

E-mail address: ____________________________________

Class day: ____________________  Time: ______________
(Call first for availability)                       

Group Name: _____________________                          
       


Date: _______________                        Check #: _________



* $35 is non-refundable
                                              
Patty's Sewing Studio