PRATT FINE ARTS CENTER

SPRING 2008 REGISTRATION FORM

 If you are under 18 years of age, please mail in, fax, or bring the PDF Registration Form with the required parent or guardian signature to Pratt. If you are paying by check, using a voucher, or are an instructor, mail in, fax, or bring in the PDF Registration Form .   If you are adding a course to an existing registration, please don't use this form, call the Registrar at Pratt (206) 328-2200 ext. 265

Please Note: Fields with an asterisk are required. Use only digits (0 - 10) or letters. No special characters such as $ or /
  

PERSONAL INFORMATION

Please check if this is a new address
Name*
Address*
City*
State*     
Zip
Day Phone
Email       
Evening Phone
Student ID  
Please indicate any special accommodations you may require or use this field to send a message to the registrar:
 DEMOGRAPHIC INFORMATION (Optional)
 Status     I have taken classes at Pratt before I am a new student
 Gender   Male Female             
 Age        
Ethnicity  African/American Hispanic Pacific Islander Asian/American Native American  Caucasian Mixed ethnicity
How did you hear about Pratt? word-of-mouth internet advertising Other
 I am a current Master-level member of Pratt  
 I am not a member but would like to take advantage of the member benefits so please begin my annual membership:
Apprentice $50 Journeyman $75 Master $100 (entitles you to 10% discount on courses)
 
COURSE INFORMATION
*Course Title
*Course No.
*Catalog Cost
Total
1.
Alternate to #1
   
2.
Alternate to #2
   
3.
Alternate to #3
   
4.
Alternate to #4
 

Course total  

10% Master-level Member Discount  

Registration Fee  
Membership Fee
SUBTOTAL

YES! Please accept my tax-deductible contribution to Pratt's Annual Fund
My company has a matching gift program:    
TOTAL DUE 
PAYMENT (Visa/Mastercard/Discover) card number   exp date *Amount Paid

 If you qualify for any of the following, please check the appropriate box. Your total will be adjusted accordingly.
Workstudy   Staff    Tuition Assistance    Scholarship  
*I have read and accept Pratt's Registration Policies
AGREEMENT: Submission of this registration form constitutes applicant's acceptance of payment method above and all terms and conditions stated in the registration policies, including the conditions of Pratt's refund policy. Pratt reserves the right to cancel any class or workshop in which case we are liable only for the tuition, lab, model, and procesing fees paid by the applicant to Pratt. In the event and instructor is ubale to perform their duties as originally scheduled, we reserve the right to exercise our judgement and reschedule any class or workshop or replace any instructor. In the event of unreasonable conduct, we reserve the unconditional right to terminate a student's enrollment. All of the above terms apply to any classes added to the registration.
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