Emmett Kelly Memorial School of Performing Arts

2008 Fine Art Registration

June 16 - 18, 2008

Accommodations and Meals are NOT supplied.

   ___  Early Adult Registration $90 each (14 years old and older) Please use separate form for each adult. 
              All Three Days ~ Deadline May 30, 2008

   ___  Standard Adult Registration $120 each (14 years old and older) Please use separate form for each adult. 
              All Three Days

   ___  Daily Adult Registration $50 each (14 years old and older) Please use separate form for each adult. 
              Per Day
 

       Adult Name: ________________________________________     Age: ______     Sex: _____

      Address: ______________________________________   Phone #:  (___) _______________

      Address 2: ______________________________________

      City: ________________________  State: _____________________  Zip Code: __________

      Country: _________________________    E-mail: ______________________
 

Presented by:
The Emmett Kelly Sr. Memorial School of Performing Arts,
The Kurtis Arts Plaza, and Studio In The Hills.


      Payment and Donations

     ___ Adult Registration Fee Enclosed:         $ ________

     ___ I am including a donation of:              $ ________

                                              Total:          $ ________          Check M/O # ________

    Please make check or money order to : City of Sedan ~ E.K.M. ~ Art School

      Mail Registration and Payment To:

Emmett Kelly Museum
Art School Registration
204 E. Main St.
Sedan, Kansas 67361

      Office Use:   D   CC   V                                                                                Student I.D.# _______________