Your name:
Your email address:
Your phone number:
Name and Age of Student(s),
Preferred time of Instruction,
Interest in Private or Group
Lessons:
Registration

Use this form to register for classes with Josephine DeFrancis.  If you provide your information below she
will get back to you with further details within a few hours. If you are also interested in transportation for
your student(s) please state that in the 4th box and provide the pick-up address.  Your information is
strictly confidential and will only be used by the artist to provide instruction.
All rights reserved by the artist.
Josephine DeFrancis
Contemporary Fine Artist