EmailMe Form - Printmaking Artist Workshop Ages 11

Parent's name *

First Last

Child's Name *

First Last

Age *

Phone *

### - ### - ####

Mailing Address *

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region

Email *

Printmaking Workshop Ages 11 - 15 *

$60

You will be redirected to paypal after submitting this form. Please provide payment at this time. If you need to pay cash, please Let us know via email at Studio@samfa.org or Education@samfa.org and have check or cash ready by first day of camp.

If conditions are deemed unsafe for studio classes, you will receive a full reimbursement

Emergency Contact *

First Last

Relation to Child *

Emergency Contact Phone *

### - ### - ####