Escuelita  Art- es Summer Registration Form
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Email *
Summer Camp Schedule 2022
Session Or Week I'm Registering For: *
Student Name *
Student Age & Birthday *
Parent Name *
Address *
Phone Number *
Child Medical/Photo Release For Summer Camps
Childs Medical Doctor Name, Address & Phone *
Hospital of Choice in Case of Emergency *
I consent to my child being videotaped or photographed for education, performance or advertising purposes. *
I have read the foregoing and agree with it in all respects. (Signature & Date) *
Payment is due upon submission of registration form. Venmo QR is available below. For other payment options please contact Odette Solitaire Phone: (512) 965 -3604 Email: osolitaire@gmail.com 
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