REGISTRATION FORM

  PLEASE FILL OUT FORM AND MAIL ALONG WITH YOUR CHECK FOR $350. (MADE   
  OUT TO: HOFFMAN CENTER):

  HOFFMAND CENTER
  6OOO NORTHERN BLVD.
  MUTTONTOWN NY 11732

  NAME:             ______________________________________________________

  ADDRESS:     ______________________________________________________

  CITY/TOWN:    ______________________________________________________

  STATE:            __________________ ZIP ______________________________

  PHONE:           _______________________ EMAIL: _____________________

  PHOTOGRAPHY SESSION DESIRED:

  DATE: ________________ AM _____________ PM _____________

  Alternative Choice: (class size is limited)

  DATE: __________________ AM ___________ PM _____________

  DIRECT QUERIES: cturner@hoffmancenter.org
  516-624-9143
  516-901-5530