Online Registration Form    

Please provide the following  information for the parent or guardian:

First Name
Last Name
Title
Street Address
Address (cont.)
City
Zip/Postal Code
Work Phone
Home Phone
E-mail

Please identify and describe your child or children:

1st Child
First Name
Last Name
Age
Gender	Boy Girl
2nd Child
First Name
Last Name
Age
Gender	Boy Girl
3rd Child
First Name
Last Name
Age
Gender	Boy Girl

           Cost of materials are $15.00 for the first child and $12.00 for each additional child.