Beth Cederberg Guertin, Owner
49 Pleasant Street, Waltham, MA 02452 - 6132
Tel: 781-863-1449      Fax: 781-863-8021
Email: Yarnexpress@aol.com
www.yarnexpressonline.com
FALL 2010 KID'S REGISTRATION FORM

Child's Name: ____________________________________ Parent's Name:__________________________________________

Address: ________________________________________ City: ______________________ State: _____ Zipcode: __________

Home Telephone: _________________________________ Cell phone: ___________________________

Email: _____________________________
 

Kid's Weaviing Lessons

My child is interested in taking weaving lessons on ______________________(day)

from ____________ to _______________ (time); for ______ number of weeks; beginning on __________________________.

School Vacation Week(s) I am interested in having my child take weaving lessons during school vacation week.
I would like the following days and times: ($8.50 per hour scheduled between 9 am – 4 pm)
Date
Hours
Number of Hours
 
from___________to___________
 # of hours ______ X $8.50 = $_________
  from___________to___________ # of hours ______ X $8.50 = $_________
  from___________to___________ # of hours ______ X $8.50 = $_________
  from___________to___________ # of hours ______ X $8.50 = $_________
  from___________to___________ # of hours ______ X $8.50 = $_________

Total Payment Enclosed $___________________

Please enclose a check made payable to “Beth Guertin”.
Mail Checks to Beth Guertin, 49 Pleasant St., Waltham, MA 02452

No refunds for missed classes.

Please print this page in order to submit your registration . . . Thank you!

Loom Rental Agreement Form

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