Name:_____________________________________________________  Age____________

Address:___________________________________________________________________

Town:_________________________ State:______ Zip__________ Phone:______________

Email or Fax:____________________________________________Cell:________________

Date:___________________


Enrolling As: _______ Non-Member     _______ Member   

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Class Code  or
Workshop Date                   Teacher                                                                            Class Fee
___________________________________________________________________________
              
___________________________________________________________________________       
___________________________________________________________________________

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___________________________________________________________________________
                                                                                             
 
                                                                                              Membership_____________

                                                                                              
                                                                                              TOTAL FEES____________
                                                                                               

Drop in Fee -
$35/$30 members (except Adult Sculpture)

Membership - Family (household) - $55        Youth - $25        Adult - $45

                 Youth Family - $40 (all children)                        Senior - $40

Your tax deductible donation to MCAA  $________________________________

Your tax deductible donation to our Scholarship Fund  $____________________

Send registration form and check to:     
MCAA
                                                      10 Catherine Lane
                                                      Morristown, NJ  07960
Please print this form, complete and remit with payment to MCAA, 10 Catherine Lane, Morristown, NJ  07960