Summer art camp 2006
APPLICATION
Child's name
Age
School
Grade
Home address
Home phone
Mother's name
E-mail
Office phone
Cell phone
Father's name
E-mail
Office phone
Cell phone
Emergency contact
Office phone
Cell phone
To enroll please
print
the filled form, include the payment of $300 and mail it to:
Nelum Walpola
2412 Loftsmoor Lane, Plano TX 75025
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