WINTER ART CAMP 2012

Registration Form

Name _______________________________________________________________________

Address______________________________________________________________________

City __________________________________________ State _______ Zip_______________

Phone _______________________________________  Age ___________________________

School ______________________________________________________________________

Local Recreation Facility ________________________________________________________

NO ART EXPERIENCE OR BACKGROUND REQUIRED!
BUT 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:

                        ____Jardel Recreation Center
                        ____ Drawing
                        ____ Sculpture
                        ____ Painting

                        ____Holmesbug Recreation Center
                        ____ Painting/Drawing

                        ____ Sculpture

                        ____ Gustine Recreation Center
                        ____ Painting
                        ____ Drawing

V.A.P. Advisory Council and mail to:

                  Philadelphia Recreation Department
                  V.A.P. Advisory Council
                  3124 Stanwood Street
                  Philadelphia, PA 19136
                  Attn: Valerie Arhondakis

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