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Clay Camp Registration Form · PDF fileClay CAMP Get messy and explore the exciting world of clay! Join us for this week-long camp creating hand-built clay projects. Whether working

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Clay CAMP

Get messy and explore the exciting world of clay! Join us for this week-long camp creating hand-built clay projects. Whether working with sculpture or pottery, campers learn in a supportive, small class setting with plenty of individual instruction and inspiration from our professional teaching artists.

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TO REGISTER or for more information

please email: [email protected]

or you can pay onlinehttps://lagrangeartmuseum.org/summer-2017-art-camp/

July 10 -14, 201710:00 am -12:00 noon

$100.00 / MEMBER $95.00

Ages 9-12 yrs.

American Express Visa Master Card

Name of Child

Parent(s) Names

Emergency Contact- Name | Number

Child(s) Physician- Name | Number

Address:

Phone: Phone2:

Email:Cell:

Make checks payable to:LaGrange Art Museum

METHOD OF PAYMENT

Check:

Card:

Age/Grade

Account #

City: State: Zip:

Total amount to be paid today $

select one $100 Family $85 Artisan (Dual)

I WOULD LIKE MY CHILD TO ATTEND Camp LAM 2017

Please list any known allergies or medical conditions

CHILDREN’S CLASS AND CAMP REGISTRATIONPlease fill a registration form for each child

Class(s) or Workshop(s) Date Time/

Exp.Date

Name as it appears on card

Billing Address

Price of Class

MEMBER NON MEMBER

Camp PRICE

My child’s photographs may be used for LAM publicity yes no

(Parent’s Signature)

Mail, email a copy: [email protected] or take this completed form along with payment to: LaGrange Art Museum, 112 Lafaye�e Parkway, LaGrange, GA 30240

Membership Level

YES - I WOULD LIKE TO BECOME A MEMBER AND RECEIVE DISCOUNTS

Signature

Please note: NO REFUNDS will be given.

Ages 3-6 yrsJune 5-9AM PM

Rising 2nd-6th gradeJune 12-16AM PM

Rising 2nd-6th gradeJune 19-23

AP PortfolioMiddle/High School

June 26-30or

and/or AM PMand/orJune 26-30

PM

AM PMor

CLAY CAMP July 10-14, 201710:00am-12:00 noon

July 10 -14, 201710:00 am -12:00 noon