Tolovana Arts Colony Student Registration Form

Classes: Unless otherwise noted, tuition for all classes is $70. Tuition is due at first class meeting and is refundable prior to the third class. You may preregister by mailing this form with payment, or bring both to your first class meeting.

Workshops: Unless otherwise noted, tuition for all workshops is $35. You may preregister by mailing this form with payment, or bring both to your chosen workshop.

To preregister: Print out this form, fill it out, and mail to:

Tolovana Arts Colony, PO Box 65, Tolovana Park, Oregon, 97145

Further information: Michael Burgess - mburgess@pacifier.com - 503.436.2868

Course/Workshop: ________________________________________

Instructor: _______________________________________________

Student's Name: __________________________________________

Address: ________________________________________________

Day Phone: _______________Evening Phone: _________________

Email: __________________________________________________

Emergency Contact: ______________________________________