Arts Discovery Program Registration

March Break Drop-In Program

Thursday, March 18, 12 pm – 2 pm

Guided tour @ 12:00pm, hands-on activity @ 1:00pm

Abstract mobiles

Cost: $13.00 Members: $ 12.35

Registration is completed when payment is received. Complete this form and an invoice will be generated.

Name:

Guardian:

Member #:

Email Address:

Address:

City,Prv,Postal:

Home Phone:

Work Phone:

Mobile Phone:

Age, Gender:

Health Card #:

Emergency Contact:

Phone:

Relation:

Special Needs: