Art Trips - Italy Trip 2019 Single Occupancy Add-On

Italy Trip 2019 Single Occupancy Add-On - Non Refundable

This payment is due June 1, 2019

Unit Price
Booking Price*	375.00 USD
Attendee Information
Number of Attendees*
Salutation*
Title
First name*
Last Name*
Email*
Confirm Email*
Contact Information
Address *
Town*
State*
Zip Code*
Phone
Work Phone
Will this be your first time coming to RGS	YesNo
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If You Are Registering a Child or Teen:
Parents' Names
Child's DOB
Does your child have any special needs or accommodations either learning or emotional? Anything that you wish to share will help us to insure your child has a positive experience in art class.
May we use your child’s image or name on the web site or other RGS publicity?	YesNo
If You Are Purchasing a Gift Certificate:
Your Name (gift giver)
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