MAS - Multicultural Arts Summer Youth Program

from $30.00

Please be sure to pay the non-refundable registration fee in addition to the cost of the program. Also be sure to fill out the registration form. This is where you can choose your session(s).

Thank you!

Session Fees:

Non-refundable registration fee $30 Cost $275 Multiple Session Discount $250

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Registration tuition payment may be made by phone or in-person at our MCCLA box office or online on our website www.missionculturalcenter.org

For more information or registration contact Ana at (415) 796-6422 Email: mas@missionculturalcenter.org

Child's Name

First Name

Last Name

Sex

Age

Date of Birth

YYYY

Size of T-Shirt

Parent/Guardian's Name

First Name

Last Name

Home Phone

(###)

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Cell Phone

(###)

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Work Phone

(###)

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Home Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Session Choices

Monday - Friday 9am - 4pm

Cash or Check

Credit Card Choice

Name on Credit Card

First Name

Last Name

Card Number

Security Code

Expiration Date

YYYY

Parent Signature (Type)

You will need to sign in-person as well.

First Name

Last Name

Date of Signature

YYYY