Feedback Form

This form is for building our class roster. Use tab or click to move from box to box. Do not push "enter" until your form is complete. You will be advanced later to the secure ordering page where credit card information is required.

Please select the location/dates you want.
Albuquerque (Rio Rancho Area), New Mexico May 29 - June 1

Please do not push ENTER,
you need to use the TAB key or click to move between boxes.

First registered child's name: Age:

Type in your choice of session(s):
(for example "Session 2" or "Session 2 & 3", etc)

Second registered child's name:Age:

Type in your session(s) choice:
(for example "Session 2" or "Session 2 & 3", etc)

Third registered child's name:Age:

Type in your session(s) choice:
(for example "Session 2" or "Session 2 & 3", etc)

Fourth registered child's name:Age:

Type in your session(s) choice:
(for example "Session 2" or "Session 2 & 3", etc)

Please do not push ENTER,
you need to use the TAB key or click to move between boxes.

	Please share a few specific drawing themes/subjects your child is interested in.

	Please tell us how you heard about Mark Kistler's Art Camp.

	What school does your child attend?

	Feel free to share any additional comments or suggestions.

Please do not push ENTER,
you need to use the TAB key or click to move between boxes.

Information needed for first registered child only:
Parent/Guardian name:
Parent/Guardian email:
Home phone (with area code):
Work phone (with area code):
Cell Phone (with area code):

Home street address:
City:
State:
Zip:

When form is complete, click button below.

Please click the above BUTTON only once.
This may take a minute or two, thanks for you patience.

Albuquerque (Rio Rancho Area)
ART CAMP REGISTRATION FORM

Mark Kistler's Art Camps!

Albuquerque (Rio Rancho Area) ART CAMP REGISTRATION FORM

Mark Kistler's Art Camps!

Albuquerque (Rio Rancho Area)
ART CAMP REGISTRATION FORM