PCAC Art Camp Registration
Event Date: June 24, 2019 thru June 28, 2019
Event Address: Ellsworth College Art Room, Kruse Main Building
Contact us at (641) 648-8576 or kristie.nevenhoven@iavalley.edu

Deadline to register is: June 14, 2019

Cost for camp:
PCAC Members: $40.00
Non-Members: $50.00
Payment can be mailed to: Ellsworth College Foundation
1100 College Ave
Iowa Falls, IA 50126
Email address *
Student Name *
Birthdate *
Grade Completed (must have completed 3rd grade)
Parents/Guardian Names: *
Address: *
City, State and Zip *
Parent Phone Number
Alternate Phone Number
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