The Brown Rabbit
Registration Form for Classes
Your Name:
________________________________________________________
                (if the class is for someone else, please fill in the bottom of this form)

Address:
___________________________________________________________

           ___________________________________________________________

Phone: ____________________________________________________________

Name of Class:    __________________________   Cost per class: $__________

                        __________________________   Cost per class: $__________

Pre-payment required - please complete section below

Total Enclosed: $_____________

___ check ___ money order

       
Please make your check or money order payable to The Brown Rabbit


Print this form and mail with your payment to:

The Brown Rabbit
P.O. Box 126
Paxico, KS  66526-0126

If you are mailing in your registration, please call first to be sure there are still
openings.The phone number is 785-636-7550. Feel free to print out this form and
make copies as needed.

If you are giving art lessons as a gift or registering for a child, please write the
name(s) here and the class they will be attending:

_________________________________________________________________
______

_________________________________________________________________
______
Return to The Brown
Rabbit home page
Questions? Email
susan@thebrownrabbit.com