Lake Elmo Regional Art Center

Lake Elmo Regional Art Center
3585 Laverne Avenue North
Lake Elmo, MN 55042

ph: 651-256-1407
fax: 651-256-1407

Registration Form

 

To register by mail use the form below and mail to:

 

Lake Elmo Regional Art Center

3585 Laverne Ave. N.

Lake Elmo, MN. 55042

(651) 256-1407

 

Registration Form:

Direct any questions to: lakeelmoregionalartcenter@msn.com with class title and date on the subject line. To register by phone call LERAC at 651-256-1407 and leave a message with the class and the names of the students. Also leave your e-mail address so that we can send a confirmation.    

                                                                                                                     

Participant’s Name: ________________________________________

Address: ________________________________________________ 

City: ____________________________________________________ 

State: ________ Zip Code: ____________ E-Mail: _______________ 

Work/Cell phone: ____________________ Home Phone: _________

For youth Classes:

 

Mother / Father/ Guardian:  _________________________________

Work / Cell Phone: _______________________

Grade Level 09/10: _________

Class Title: _________________________________Cost:_________

 

Copyright Lake Elmo Regional Art Center

 

Designed by Susan Opitz

susan@susanopitz.com

Lake Elmo Regional Art Center
3585 Laverne Avenue North
Lake Elmo, MN 55042

ph: 651-256-1407
fax: 651-256-1407