REGISTRATION FORM FOR CLASSES AT TRUE MOSAICS STUDIO 

Please fill out this form and include it with your registration check. 
If you can not download/ print this, please include this info on your own 
paper. 

NAME:
______________________________________________________

ADDRESS: 
______________________________________________________ 
______________________________________________________ 

PHONE NUMBERS: 
DAY __________________ 
EVE __________________ 
CELL _________________

NAME OF COURSE YOU ARE REGISTERING FOR: 
___________________________________________________ 

DATE OF COURSE YOU ARE REGISTERING FOR: 
___________________________________________________ 

COURSE FEE: 
$_____________ Please make checks payable to: TRUE MOSAICS 
STUDIO 

ARE YOU A NEW OR RETURNING STUDENT? 
___________________________________________________ 

HOW DID YOU HEAR ABOUT TRUE MOSAICS COURSES? 
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