Carlton Arts Centre
189 NicholsonStreet, CARLTON
Victoria 3053
Australia Telephone (03) 9347 3065
APPLICATION FORM
(please print your details below)
WHEEL NO:
First Name
Last Name
Street Address
Suburb
Postcode
Home Tel.
Mob. Tel.
Email
Select Course
Beginners Hand Building
Advanced Hand Building
Beginners Wheel Throwing
Life Drawing - Sculpture
Intermediate & Advanced Wheel
Select Time
Tuesday Morning 10am to 1pm
Tuesday Evening 6pm to 9pm
Wednesday Morning 10am to 1pm
Wednesday Evening 6pm to 9pm
Thursday Morning 10am to 1pm
Saturday Morning 10am to 1pm
Select Term
1st Term Commence 7/2/2012
2nd Term Commence 17/04/2012
3rd Term Commence 12/06/2012
4th Term Commence 14/08/2012
5th Term Commence 09/10/2012
Conditions of Enrolment. A deposit of $90.00 is required to hold a place.
Balance of fees payable at the start of the first lesson of each term.
Fees and classes will not be refunded or transferred from one term to another. However you
are welcome to make up any missed lessons within in the current term
Date:
Applicants Signature:
Office use only :
Term 1
Deposit:
Term 2
Deposit:
Term 3
Deposit:
Balance:
Balance:
Balance:
Total:
Total:
Total:
Term 4
Deposit:
Term 5
Deposit:
Balance:
Balance:
Total:
Total:
