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Thomas Q. Fulton, Jr - Executive Director 

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Tom Fulton
Executive Director
Vision
Follow the Dream

Fill in the form below and you will be contacted to confirm and pay for your class.

Please fill out this form one class at a time.  If you wish to take more than one class,  please do so on separate forms
 
Refer to either the on-line catalog or mailed catalog when answering the questions below.
Session             Year:    
First Name:
Last Name
Home Street Address:
City:
State:
Zip Code:
Home phone number: (required)
Other phone number:
Email Address: (required)
Birth date:  
Which School?
Name of Class
Teacher
Schedule Day(s) Time(s)
Cost of Class
Payment Method Preferred
*Note: Fairmount will soon have a secured server, which will allow payments on line.
  We will contact you by phone to arrange payment.*

.

Please enter any special instructions, requests, etc. in the box below and then hit "Submit"

 
When You hit submit, your information will be automatically sent to Administrative Director Shirley Kolenic (fairmountsk@aol.com) We will add you to our mailing list. Thank you!


The Fairmount Center  - 8400 Fairmount Rd  - Novelty, Ohio 44072  -  Phone: 440.338.3171  - Fax: 440.338.4218