REGISTRATION FORM: Private Lessons for Children and Teenagers Students Name: _____________________________________________Date: _____________________ Address: ____________________________________________________________________________ Telephone Number: _____________________________ Cell:___________________________________ Preferable Time:   Weekly: _________________________________Bi-Weekly___________________________________ Students under 18 years of age: Age: ____________ School: _______________________________________Grade: ________________ Parents’ Names: ______________________________________________________________________   Return this form to:  The Linden Tree Fine Art Studio 543 North Main Street North Canton, OH 44720

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July 2007