BRIDGEVIEW SCHOOL OF FINE ARTS
REGISTRATION FORM FOR CHILDREN
STUDENT NAME __________________________STUDENT BIRTHDAY (required)______
PARENT NAME(S)_____________________________________________________________
STREET ADDRESS (for new students only or if changed)___________________APT#_______
CITY_____________________STATE________ZIP CODE_____________________________
CONTACT PHONE NUMBER ____________________ E-MAIL_________________________
NAME/LOCATION OF YOUR CHILDS SCHOOL____________________________________
Is there an art program at your school? If Yes, who is your art teacher?____________________
WHICH CLASS ARE YOU ENROLLING? For Portfolio Classes, please indicate name of high school(s) or college(s) you will be applying to
Class 1:___________________________Day/Time________________Tuition_____________
Class 2:___________________________Day/Time________________Tuition_____________
Total payment enclosed: $__________
METHOD OF PAYMENT
No cash payments.
We accept Visa, MC and Discover credit cards. We do not accept American Express.
Check or Money Order (written to Bridgeview School) ____
Credit Card___ Card No:_________________________________Expiration _______
Last 3 digits of security code (on the back of credit card)______________
I would like to have a receipt from Bridgeview e-mailed to me ____ to this e-mail ____________
Please mail this form with your payment to
Bridgeview School
Attn. Lena Murray, Director
1708 Brisbane St.
Silver Spring MD 20902
For more information call the school at (718) 937-1300.
PLEASE NOTE: We encourage you to register early, before the first day of class. If you wait until the classes begin, they may be full. In such case we would have to put your child on a waiting list for the next semester.