Painting Class

Registration for our first painting class.

Name

First Last

Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone

Are you a PossAbilities member?

YES

What is your disability?

Age (under 18 must be accompanied by an adult)

Which class would you like to attend?

You agree to show up for the class. If you do not attend you will need to reimburse PossAbilities $50 for your seat.

Yes