FALL ART CAMP REGISTRATION FORM

FALL ART CAMP 2010
Registration Form

Name _______________________________________________________________________

Address_____________________________________________________________________

City __________________________________________ State _______ Zip______________

Phone _______________________________________  Age __________________________

Local Recreation Facility _______________________________________________________

 MUST HAVE AN INTEREST IN ART

Check the location of the camp you will attend and number the classes in order of your preference so that in the event your first choice is full you will, be given your second choice:

____Holmesburg Recreation Center

____Painting/Drawing
____Sculpture

 

____ Jardel Recreation Center
____ Drawing
____ Sculpture

____ Painting

 

____Gustine Recreation Center

____Painting/Drawing

 

____ Murphy Recreation Center
____ Painting
____ Sculpture

      

____ Shepard Recreation Center
____ Painting
____ Drawing

 

Enclose this registration form along with $100 Money Order payable to:
V.A.P. Advisory Council and mail to:

Philadelphia Department of Parks and Recreation
Visual Arts Office
1515 Arch Street, 10th Floor
Philadelphia, PA 19102
Attn: Valerie Arhondakis

 

Deadline for Registration by mail: September 24th

Deadline for Registration in person: October 2nd

Last Day to Register: October 9th