Page 1 of 1

Casa de ART Enrollment Form

Full Name

Age

Grade Level

A
B
C
D
E
F

Gender

A
B

Nationality

Address

Does the student know how to speak English?

A
B

Class Packages ( 8 sessions: 50 minutes per session)

A
B
C

Preferred Number of Class in a week

A
B
C
D

Preferred Class Date

(Ex. July 2,3, 9, 10, 16, 17, 23,24)

Preferred Class time

Referral Code (Please answer this only if you have)

Please place your Unique Referral Code to get a 10% discount.
These are the 10% discounted rates:
Beginners / Kids Class: USD 135
Intermediate Class: USD 180
Advanced Class: USD 225
(We will be checking the referral code, so please skip this if you don't have)

PAYMENT METHOD
(Please attach the proof of payment)

Account Name: Sukho Cho

Bank Name: GoTyme Bank
Account Number: 012040989552
SWIFT: GOTYPHM2XXX
https://storage.tally.so/d87b93b6-6a93-4aa3-83b3-6e937ed170b2/753092296_1036679925775104_1738810210577853282_n.png

PROOF OF PAYMENT