Fine Arts Academy Registration Form

Make checks payable to: First Christian Church FAA, P.O. Box 698, Glendora, CA 91740. When Classes fill, new ones will be added if possible. Call the office 626.335.2240 if you have any questions.

Parent/Guardian (if Applicable):______________________________________________

Street Address:___________________________________________________________

City, State & Zip:_________________________________________________________

Phone Number: (____) ______-___________E-mail Address:______________________

Class Registration

“Memb” is our member price; “NM” is our non-member price.

Students Name

Age

Class Code

Class Fee

Academy Membership Registration (optional)

It is not necessary to be a member of the FCC Fine Arts Academy in order to take classes. However we do appreciate the support your membership provides. Membership does entitle you to a discount on FCC Fine Arts Academy Classes.

Membership is October 31^st – November 1^st, 2009

Family Membership $50.00 (all household family members)

Individual Membership $30.00

Student/Senior Membership $20.00

PARTner (contributions over $50.00)

Patron (contributions over $250.00)

FAA Angel (contributions over $500.00)

Member’s Name

Membership Type

Membership Fee

Total Class Fees:_______________

Membership Fees (optional):_______________

Total Amount Due:_______________

Please Mail this form to: First Christian Church FAA

P.O. Box 698

Glendora, CA 91740