Creative Expression for Change Class

Creative Expression for Change Class - Sept. 23 - Oct. 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
Emergency Contact
Name/phone number
Please send the $160 fee via e-transfer to the following email to hold your child's space:

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

yes no

Creative Expression for Change Class - Sept. 23 - Oct. 28, 2022