ART STUDY CLASSES: SERIES
HOW TO REGISTER: PRINT THIS REGISTRATION FORM

Designate title of class your are registering for here______________________________
Enter amount of payment here  $__________________

Make check payable to:.....................................STEEN ART STUDY
Designate on check:..........................................Title of Class
Mail registration form and check to:.....................Steen Art Study
........................................................................Attn: Prof. Ronald E. Steen
........................................................................961 E. California Blvd., Suite 329
........................................................................Pasadena, CA 91106-4057

YOUR CANCELLED CHECK IS CONFIRMATION OF REGISTRATION

Name______________________________________________________________________________

Address____________________________________________________________________________

City__________________________________________Zip____________________________________

Phone (_____)___________________________Fax(______)___________________________________

Email address______________________________________________________________________________

Art Organization Affiliation(s)__________________________________________________  

Note: No liability is assumed before, after or during this series by the conductors, and participation is at the risk of the
participant and their guests. This lecture series may be interrupted in order to insert a program of special interest for the
members with agreement by a majority of the registrants. Because the class is self generated and self-perpetuating,
should the class registration be below the minimum as of the deadline date, the registered members have
the following options: 1. set a new deadline in order to recruit the needed registrations, 2. agree to prorate the total
registrations of the vacancies among the registered, 3. cancel the class and receive a refund. Should Prof. Steen become
unable to perform the series prior to the first date of class, a full refund will be paid. Should he become unable to conduct a class
during the series, a make-up class will be presented in any form agreeable to the entire class registrants. The registered member
and their guests agree to release the conductors from any liability and agree to all of the above conditions and guidelines
via registration payment and/or the signature below. Steen Art Study reserves the right to reject any registration or dismiss a student or guest, from a class for reasons of civility, that could compromise the class, classroom and/or registrants individually or as a group.

Signature___________________________________________________________________________

IMPORTANT:
PLEASE COMPLETE THE ABOVE FORM, SIGN IT,
AND INCLUDE IT WITH YOUR PAYMENT TO COMPLETE YOUR REGISTRATION.

PLEASE COPY THE CLASS DESCRIPTION PAGE AND KEEP IT FOR REFERENCE.

Please tell us how you heard about Steen Art Study?
Check all that apply below.

_____Art Scene
_____Art Week
_____Los Angeles Times
_____Orange County Register
_____Pasadena Star News
_____Pasadena Weekly
_____Search Engine
_____Friend / relative / associate
_____Took a Steen Art Study class prior
_____Other (Please write in)_______________________________

Please enclose this questionnaire with your registration form.
Thank you for your help.

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