Bridgeview School of Fine Arts. Children.

SECTION 1

STUDENT NAME _________________________

Are you a new or returning student? New Student _______ Returning Student______

Returning students do not need to fill out SECTION 2, proceed to SECTION 3.

New students, please fill out SECTION 2.

SECTION 2

STUDENT BIRTHDAY (required)______PARENT NAME(S)_______________________________

STREET ADDRESS _______________________________________APT#_______

CITY___________________STATE________ZIP CODE_______PHONE #______________________

E-MAIL_________________________

NAME/LOCATION OF YOUR CHILD’S SCHOOL________________________________________

Is there an art program at your school? If Yes, who is your art teacher?_______________________

SECTION 3

Class Title:___________________________Day/Time____________Tuition: $__________

Recommended Donation (Optional)** $20 $40 $60 $100 $__________

TOTAL PAYMENT: $__________

** Donation is optional. Tuition only covers partial salaries and rent; we are grateful for any contribution! All donations are tax-deductible. Bridgeview School of Fine Arts is a 501(c)3 organization.

METHOD OF PAYMENT. NO CASH PAYMENTS, PLEASE.

We accept Visa, MC and Discover cards. No American Express

Credit Card #:________________________________Expires _____3 digit security (from back of card)_____

I am mailing a Check or Money Order (written to Bridgeview School) ____

I would like to have a receipt e-mailed to me at this e-mail ______________________________________

For snail mail please use this address:

WHERE TO MAIL THIS FORM: Bridgeview Administrative Office,

1708 Brisbane St. Silver Spring, MD 20902