Your Name: ________________________________________________________
            (if the class is for someone else, please be sure fill in the bottom of this form)

Address: ___________________________________________________________


Phone: ____________________________________________________________

Name of Class:    __________________________    

Date ____________________________

                                               Pre-payment required
                                       Cost per class: $__________
                                       Total Enrolled: ___________

                                       Total Enclosed: $_________

Please make your check or money order payable to The Brown Rabbit Studio

Print this form and mail with your payment to:

The Brown Rabbit Studio
P.O. Box 126
Paxico, KS  66526-0126

If you are mailing in your registration, please call first to be sure there are still openings.

785-636-7550. Feel free to print out this form and make copies as needed.

If you are registering for a child please write the name(s) here:

Child's name(s) ______________________________________________________________
Questions? Email
The Brown Rabbit Studio