Class Registration Form

    Learn MOAH Stuff!

    Instructions: Complete this form, then print out and sign and mail with your check or credit card data (Visa or MasterCard) for registration to:
    The Museum of American Heritage
    P.O. Box 1731
    Palo Alto, CA 94302-1731

    MOAH is located at 351 Homer Avenue between Bryant and Waverley Streets.

    If you wish to pay by check, your check should accompany your registration form, even if you are placed on a waiting list. If a student is on a waiting list and is not enrolled, your check will be returned to you. If you wish to pay by credit card, fill out the credit card portion of this form or call 650-321-1004. Your card will not be charged until the student is enrolled.

    Registration must be received by the stated date and preferably 2 weeks prior to the first session of a class. Classes are subject to cancellation if sufficient advance registrations are not received.

    Because of the nature of the workshops, any students not attending the first session of a workshop will be dropped from the roster.

    Waiting list

    Waiting lists for our workshops are common. Students on a waiting list are encouraged to attend the first session of a workshop and will be added on a space-available basis.

    MOAH Class Registration

    Class: 
    Class Date: 
    Instructor: 
    Fee: Member:
     Non-member:
     Associate member:
    $
    Student name: 
    Address: 
    City 
    Zip: 
    Phone: area code + no. 
    Emergency phone
    number: Area code + no. 
    How did you
    hear about
    this class?: 
    If participant is a minor:
    Child's age 
    Parent/
    Guardian name 

    My child has my permission to attend this class. I hereby release the Museum of American Heritage and/or any of its agents from any liability resulting from participation in the above-mentioned activity. I understand that I am responsible for providing transportation to and from class, that no supervision will be provided before or after class and that I should pick up my child on time.

    Parent/
    Guardian Signature: 
    Date: 
    Parent/
    Guardian Name: 
    E-mail: 
    Relationship: 

    To pay for this class with your Visa or MasterCard credit card, please supply the information below.
    Card type: Visa: MasterCard:
    Name on credit card: 
    Card number: 
    Expiration date: 

    This form can not be submitted online. Please print out , sign and mail.
    back to top
    This page last updated: November 18, 2010
    View Site in Mobile | Classic
    Share by: