CIRCUS OF THE ARTS REGISTRATION
All for one low admission price of $3.00, partake of any or all of the Circus events on Friday and Saturday!
Admission fees collected at pre-registration desk.
You may pre-register for any number of clinics and workshops using this form. Include registration information for each member of your family. Pre-registration MUST be received by FEBRUARY 20th. After February 20th., all registration for clinics and workshops will be taken during Circus hours on a first come basis. Questions? Call Cathy Filson 724-934-5513

Name

Phone

•
10:00
11:30
1:00
2:30
4:00

Workshop Title

•

•

•

•

•

2nd Choise

•

•

•

•

•

Name

Phone

•
10:00
11:30
1:00
2:30
4:00

Workshop Title

•

•

•

•

•

2nd Choise

•

•

•

•

•

Name

Phone

•
10:00
11:30
1:00
2:30
4:00

Workshop Title

•

•

•

•

•

2nd Choise

•

•

•

•

•

Name

Phone

•
10:00
11:30
1:00
2:30
4:00

Workshop Title

•

•

•

•

•

2nd Choise

•

•

•

•

•

FREE ADMISSION TO THE CIRCUS WITH PAID MEMBERSHIP TO THE FINE ARTS COALITION
Please select your level of enrollment, make check payable to Fine Arts Coalition and return in an envelope to: FINE ARTS COALITION ·c/o 10005 Parkland Drive, Wexford, PA 15090

$10.00 General Membership
(Individual or Family)

$25.00 Patron

$50.00 Organization

$100.00 Benefactor
Name
Address
City/Town
Phone
Area of Interest: _____Dance _____Literature _____Music _____Visual Arts _____Multimedia ____General