Holyoke Creative Arts Center Pre-Reg Form

Holyoke Creative Arts Center
Register for Classes

Holyoke Creative Arts Center Registration Form

Use this form if you would like to Register or express an interest in an upcoming class. Before filling in this form, please make note of the items (from the catalog or the web site schedule) in the next column.
Some classes may be filled, so call The Center to check availability and for Cost and Payment details.
Use your Tab key to go through the form
Back to Main Page

The Semester
The Class Title
The Instructor's Name
The Dates of the Class
The Day of the Week
The Time of the Class

Please check the Class Schedule to make sure the class is running and verify the above information before filling in this form

Full name	Are you a Member of the Center?
	Yes No Not Sure

Address

City State Zip Code

Telephone Email Address

Emergency Contact Name Emergency Contact Telephone

Select Semester Select Class Title   Select Teacher

Class Dates Select Day
of Week Choose Time of Day

Morning (Starts 9-11am)
Afternoon (Starts Noon-3 pm)
Evening (Starts After 5pm)

I called the Center and am confirmed to be in this class
Reference Number
  Payment Method:
     Not sure at this time
     I will pay online with my Credit Card
     I will pay at the Center with Cash, Check or Credit Card
     I will pay online using my PayPal account
     I will pay with other method

Please contact me by Telephone
Please contact me by Email

Questions, Comments?

Back to Main Page