Shining Lights Visual Arts Camp Registration
Please submit one registration separately for each child attending. Thank you.
Child first name *
Your answer
Child last name *
Your answer
Parent Name *
Your answer
Parent Phone Number *
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number
Your answer
Parent Home Address *
Your answer
Select the grade level your child is entering in the fall of 2017. *
Please share any dietary restrictions or allergies we should be aware of.
Your answer
Any other information you feel we need to know?
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