HOLIDAY SIGN-UP FORM

MODELING - 4-DAY HOLIDAY WORKSHOP December 20-23 or 27-30, 2021

$250 TOTAL - (HALF PRICE TO AGENCY MEMBERS)
Pick your Camp Date

DECEMBER 20-23DECEMBER 27-30
Pick Your Camp

TEEN / ADULT BASIC (10:00-2:00)TEEN / ADULT ADVANCED (10:30-2:00)TEEN / ADULT PROFESSIONAL (10:00-2:00)CHILD BASIC (10:00-2:00)CHILD ADVANCED (10:00-2:00)CHILD PROFESSIONAL (10:00-2:00)
Name*

First Name Last Name
Cell Number*

Area Code Cell Number
E-mail*
Birth Date

Month Day Year
Parent Name (if under 18)

First Name Last Name
Parent Cell (if under 18)

Area Code Phone Number
Comments
WE WILL CALL OR TEXT TO CONFIRM ENROLLMENT & PAYMENT
Should be Empty:

MODELING - 4-DAY HOLIDAY WORKSHOP December 20-23 or 27-30, 2021