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The Etiquette School of Central Texas

Marie Martin, Etiquette Consultant

917 Deer Ridge Road  Waco, Texas 76712  

(254) 644-6776

Registration Form

Please enroll my son/daughter/myself __________________________________

In the (1^st-5^th Grades), (Youth Culture Program for Girls), (Youth Culture Program for Boys), (Dating Etiquette), (Business Etiquette)   (circle one)

He/She is in the ________ grade at ____________________________   Age _______

My child has NO food allergies. ___   My child is allergic to: ________________________

__________________________________________________________________

Parents Name

Address

_______________________________                   ____________________________

Phone                                                                                     E-mail

_____ Enclosed is my check for payment in full ($150.00)

_____ Please reserve a place for my child.  Enclosed is my deposit of ($75.00) I will send the balance of ($75.00) with my child on the first day of class.