Summer Art Camp – Heidi Lifrage

June 1-4, July 13-16 are both full and email me if they would like to get on the waitlist. We do have two other class options below.

Contact:
321-277-5819
heidi@heidilifrage.com
http://www.heidilifrage.com

Participant Information
Full Name*
First Name Last Name
Birth Date*
YYYY slash MM slash DD
Current Grade*
Household / Adult Primary Contact
Parent Full Name*
First Name Last Name
Relationship to Participants*
Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Email Address*
Emergency Contact
Emergency Contact Full Name*
Emergency Contact First Name Emergency Contact Last Name
Emergency Contact Details*
Emergency Contact Phone Relationship to Child
Baldwin Park Elementary Summer Art Camp*
- June 22-25 9am-3pm Baldwin Park Elementary
Baldwin Park Elementary June 22-25 9 am to 3 pm
Total
$0.00
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Participant Information