Print out this page, fill in the blanks and mail it to
Olpin Art Center
141 W. Boston St.
Chandler, AZ 85225
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Week-long Summer Camp or ___ Class
1.
Name of student:______________________________________
If registering a child, please answer questions 2 and 3.
2. Parent or Guardian:____________________________________
3. Student's Date of birth:_________________________________
4.
Class Name:__________________________________________
5.
Day and Time (First choice):_____________________________
Dates and am or pm if summer camp.
6.
Day and Time (Second choice):__________________________
Dates and am or pm if summer camp.
7.
Phone number(s):______________________________________
8.
Email:________________________________________________
9.
Mailing address:________________________________________
________________________________________