Kids Art Camp Registration
Registration Form:
Registration Form
Name: _____________________________________
Grade: (Fall 2010) ___________________________
Street Address: ________________________________________________________________
City & State: _________________________________________Zip: _____________________
Tuition: 125.00
T-Shirt Size: Youth M ___ Youth L ___ Adult S ___ Adult M ___ Adult L ___ Adult X-L_______
Parent’s Name: ___________________________________________________________
Home Phone: __________________Work Phone: __________________
E-mail Address:______________________________________________
Emergency Contact: ____________________Phone: _______________
Please list any medical conditions or allergies: _______________________________________________________________________
Please print and return completed form along with tuition of $125.00 to:
- The Kitty Dark Kids Arts Camp
- P.O. Box 204
-
Alexander City, AL 35011
.