Copyright 2013. KASS - Kingwood Art School & Supply. All rights reserved.
Please complete the following information.Payment and registration form are required before a position is reserved.
Class name ___________________________ Class Day & Time: ___________________________
Student First Name: ________________________ Last Name: ___________________ Age: _______ Grade: ______
Parent Name: _____________________________ Home # : ____________________ Cell #: __________________
Address Street 1: __________________________ City: ________________________ Zip Code: ________________
Email: ___________________________________ Security Code: *
Please read carefully before signing. A student may not attend classes until this form has been signed and returned.
1. A registration fee of $50.00 per student is due upon registration. This fee is non refundable. It covers registration for all classes August 20 through May 20 or
Summer , as long as they are consecutively attended.
___2. Class registration is asemester commitment . You will be charged even if you do not attend. Cancellation fee is $250.00.
___3. If the above student is more than 15 days late in payment or has missed more than two consecutive classes without notice, he/she will be deemed to have
cancelled attendance and the cancellation fee will be due. I further agree that I will not dispute these charges.
I understand this agreement _____________________________________ ( signature required ).
___4. I understand that payment is due on the 15th (fifteenth) of each month (about two weeks in advance of the classes for which payment is received).
5. A late fee of $15.00 (fifteen) will be assessed and due on any payment received after the 15th of the month, and each month thereafter.
6. A $35.00 fee will be charged on all returned checks.
7. Children should arrive no earlier than 5 (five) minutes before class begins and must be picked up no later than 10 minutes after class ends. A fee of $5.00 per
minute will be assessed after 10 minutes. The fee will be due at pickup.
___8. KASS is not responsible for art work left over one month or left after the student has resigned from classes.
___9. There are NO make-up classes. I understand that missed classes are forfeit and non-refundable.
I agree to the above terms. _____________________________________________
Authorized signature (must be at least 18 years old)
Name: ______________________________________ Date: ________________________________________
KASS registrar: _______________________________________________ Date Recvd: ____________________________________
Total recvd: _______________________
Supplies pd$ ____________ Supplies Rcvd _____________