ART CAMP 2 JULY 14 - 16 - Leroy Community Library

FIRST NAME (required)

LAST NAME (required)

EMAIL (required)

PHONE (required)

Age (select one) (required)

Will you be dropping off your child? (chldren may be dropped off at 8:50 am and picked up at 11:45 am)? (required)

Yes

No

Unsure

Emergency Contact: In case of emergency, who should we contact (please include phone numbers) (required)

Lunch is provided. Does your child have any dietary restrictions or food allergies? Please list (required)

Is there anything else we should know? (required)