Creative Expression for Change Workshop

Creative Expression for Change Workshop - May 28, 2022

Express yourself * Know yourself * Trust yourself * Accept yourself
Student Information
Student's Name

First Name Last Name
Birth Date

Month Day Year
Name of Parent/Guardian

First Name Last Name
Phone Number
E-mail
example@example.com
Address

Street Address

City Province

Postal Code
Please send the $40 fee via e-transfer to the following email to hold your child's space:

ektaschoolorangeville@gmail.com
Do we have permission to take photos for marketing purposes?

yes no

Creative Expression for Change Workshop - May 28, 2022