PYGMALION School of Fine Art
8645 McKenney Ave., St. Albert, AB  (780) 460-1677

Application for enrolment in ADULT art classes:

Please choose class time:
Monday1:00 - 3:00 pm ___
Monday       7:00 - 9:00 pm ___
Tuesday      7:00 - 9:00 pm___
Thursday   10:00 am - 12 noon ___

Student's Name:  __________________________________
Address:  _____________________________________________________________
City / Town:  ___________________________  Postal Code:  _____________________
Phone:  (hm) ___________________________  (wk)  ___________________________
E-mail address:  ________________________________________________________

Method of Payment: 
Monthly @ $125.00 + GST = $131.25 / month
10 classes @ $325.00 (includes GST) / 10 classes (expires at the end of each semester)
Semester @ $625.00 + GST = $656.25 / semester

Please Check-    ___Post-dated cheques       ___Credit Card     ___Debit     ___Cash
___Payment for 10 months     ___Payment for 5 months    

1st Semester - September to January2nd Semester - February to June

Please check if a supply kit is needed at an additional cost of:  $_______

N.B.First month payment is due upon registration.  Students cannot begin classes until arrangement for payment has been received. No refund of first month's payment is offered after registration.  One-month written notice to cancel classes must be given; any remaining post-dated cheques will be returned on date of last class.  If using a "monthly credit card payment", transactions will be made 5 days before the 1st of the month, and a 1-month notice must be given to cancel classes.  If a "full semester / year" payment is made, NO REFUNDS will be given.  Classes are non-transferable.  A $20 fee will be added to NSF Cheques.  Art supplies must be picked up within one month of last class or they will become property of Pygmalion School of Fine Art.  No classes will be held on Statutory Holidays, including long weekends, unless otherwise stated.  Make up classes are provided due to holidays or illness, but must be made up before the student's registered last class.

I hereby agree to the above conditions - 
  ______________________________
                                                                    Signature of Student
_________________________________________________________
Date   Signature of Instructor