City of So, Pasadena, Miss Claires Classes

at the Memorial Building,Registration Slip

(for mail-in or fax (626) 799 -4920)

Tuesday, Thursday and Friday Classes  $75.00

Please make checks out to The City of South Pasadena

815 Mission Street. South Pasadena, CA 91030 

All information and payment is required for registration to be accepted.

June 8th-22nd, priority registration will be based on postmark date

or fax date, but will be rejected if postmarked/faxed before June 8th.

Confirmations will be mailed or provided within 1-3 days of receipt. 

Open registration accepted June 23-July 20. 

Classes start week of July 6th. Thank you for your registration.

Tuesday, Thursday and Friday Classes $75.00

 

Participant/s____________________________________ Age(s)_______________________

 

Check if over 55 []

 

Class & Class Day/Time________________________________________________________

 

Parent/Guardian name & address

 

____________________________________________________________________________

 

 

____________________________________________________________________________

 

 

Phone  (_______)__________-______________________________

 

E-Mail (optional)  ________________________________________

 

Payment Visa________ Master Card __________Check________

 

 

#________________________________________________   Expiration date_____________

 

 

Signature:___________________________________________________________________

 

Refunds will be granted if participant notifies the Community Services Department of the cancellation before the end of the second class, less a $5.00 handling fee.

100% refunds will be made if class is cancelled by Community Services Department.

 

NO REFUNDS OR EXCHANGES WILL BE GRANTED AFTER THE END OF THE SECOND CLASS.

 

I agree to defend, indemnify, and hold the City of South Pasadena, its employees and agents, harmless from and against any all loss, damage, injury, demand, liability and cause of action arising or in any manner connected to the participation of

 

___________________________________ in ______________________________________

Name of Participant(s)                                      Name of Class, Day, and Time

 

____________________________________________          __________________________

Signature(Parent/guardian)                                  Date