FOVAPA

 Clay Creations

First Name:   Last Name:   Street:   City:   Zip:   Phone:   Email:   DOB

Program Cost $85.00   Includes all materials  and instruction

Grade:	School:

 

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I give my permission for the Friends of the Visual and Performing Arts to use images of me and/or my child created as part of a FOVAPA program for the purpose of promoting arts programs. Said images may be in print or electronic format and may be used in newsletters, posters, fliers, on FOVAPA’s website or any other promotional materials.

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I am over 18 and I accept
I am under 18 and I have the consent of a Parent or Gaurdian 
 Name of Parent/Gaurdian: