Art Camp Signup | Rhonda Dixon Art Studio

Choose a Class *

Student's Name *

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Age *

Gender *

School *

Grade *

Address *

Email *

Email

Confirm Email

Father's Info *

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Father's Phone # *

Phone #

Mother's Info *

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Mother's Phone # *

Phone #

Emergency Contact *

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Last

Emergency Contact Relation *

Relation

Emergency Contact Phone # *

Phone #

Who My Child Has Permission to Leave With *

Allergies or Other Special Instructions *

Would You Like to Put Your Child on the Waiting List for Regular Art Classes? *