Registration Form
Comics and Storytelling Camp July 7-11
For kids ages 8 - 12
Student Name
First Name
Last Name
Date of Birth
Allergies, medical or other special needs. Please explain.
Authorized for pickup:
Authorized for pickup:
Type a question
Student can be dismissmissed on their own
Yes
No
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Main contact
Please enter a valid phone number.
Emergency contact
Please enter a valid phone number.
emergency contact
Please enter a valid phone number.
Signature
Camp fee of $350 must be sent by transfer to: naz.rahbar.teaching@gmail.com to secure your spot. Please make sure your child's name is included with your fee. Type your email:
Submit
Submit
Should be Empty: