Kitty Gorrell Homecoming Hues     

   REGISTRATION FORM         September 4 - 9, 2012    

   Kitty Gorrell   Fill out and make a copy for your records before mailing   Kitty Gorrell   

NAME ______________________________________________________ Painter ___ Guest ____

Phone __________________________ Cell ____________________________________________

E-Mail __________________________________________________________________________

ADDRESS _______________________________________________________________________

Deposit enclosed $__________ (painter)
$________ (guest)
Check # ______
Visa/MC # ___________________________________________________________
Security number from back of card _______  Expiration date _______

Make checks payable to Homecoming Hues / Kitty Gorrell.
Send completed registration form with class choices and deposit to:
Kitty Gorrell, 279 Beech Run Road, Friendly, WV 26146


 
CLASS REQUEST FORM    Please list your 1st AND 2nd choice per day.

 
Wednesday:
1st Choice _____________________________________________________________
 
2nd Choice ____________________________________________________________
   
Thursday:
1st Choice _____________________________________________________________
 
2nd Choice _____________________________________________________________
   
Friday:
1st Choice _____________________________________________________________
 
2nd Choice _____________________________________________________________
   
Saturday:
1st Choice _____________________________________________________________
 
2nd Choice _____________________________________________________________