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Registration
Participant Information
Participant 1
First Name
*
Last Name
*
Visual Art Perference
*
2-D (Painting/Sketching)
3-D (Sculpture/Clay)
School Attended
*
Birth Date
*
+
Grade Completed
*
K -5
1st
2nd
3rd
4th
5th
6th
7th
8th
Camp Name
*
Lion King Kids
Young Black Panther
Fee
*
$225 - Regular Registration/Tutition
$200 - Early Before April 15, 2019
$200 - Multi-Sibling Rate
Household / Adult Primary Contact
Relationship to Participants:
*
Parent
Group leader
Other
Other
First Name
*
Last Name
*
Address 1
*
Address 2
City
*
State
*
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
West Virginia
Wisconsin
Wyoming
Washington DC
Zip
*
Phone
Email Address You will be contacted via email by staff directly for payment with 48 hours. Thank you.
*
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