Drop Down Menu - TPW

Registration Information


Child's Name:  
Birthday:        Age:
School:    Grade:

Parent's Name:  
Address:  
City, State:       Zip:
Home Ph.:       Cell Ph.:
Email:  

Registering for:       

Emergency Contact:  
Doctor's Name:  
Immunizations: State where camper Resides:
Is camper exempt from any immunizations?






Painting Workshop
T-shirt - $15/$20 
 
Please note color and size:

 View Tshirt
Photo Waiver  The Painting Workshop has my permission to use photos of my child for promotional purposes.