Academy of Modern Etiquette
Application/Registration Form (Printable)
(Please confirm class availability before sending this form with payment)

 
Name of Class________________________________________________________

Location of Class_________________________________Date of Class __________
 

  Student's Name
 
  Age                                                Grade (if applicable)                              Birthday (Optional) 
  Address
  City, State & Zip  
  Parent's Names (If student is a minor)  
  Home Phone #                                        Work #                                                Cell #
..E-Mail Address for Class Confirmation                                 
  Hobbies and Awards  
  What would you or your student like to gain? 

  List any food allergies or medical conditions
..you would like us to be aware of.
..How.we can help you accomodate?
..Where did you hear about us?

Make Checks Payable to: Academy of Modern Etiquette

Academy of Modern Etiquette
Attn: Robin Germain
4912 N. Glenn Avenue
Fresno, California 93704

(559) 222-2192

Amount Enclosed____________________

Signature____________________________________________ Date____________

Registration fees are non-refundable and non-transferable. However, If a cancellation notice is received at least two weeks before the class date, 50% of the fee may be applied for future classes.