Summer Camp Registration

    1. Full Name*:

    2. DOB*:

    3. Grade*

    4. Parent/Guardian*:

    5. Address*

    6. Phone no.*

    7. Email*

    8. Any special requirements/ Allergies:

    9. Please select the weeks:

    1-Art Tells Story- ages 5-8 ( June 5- June 9)2-Painting Fun- ages 5-8 (June 12- June 16)3-Paper Craft-ages 5-8 ( June 19- June 23)4-Clay molding -ages 5-8 ( June 26- June 30)1-Madhubani Painting - ages 10 & up ( June 5- June 7)2-Madhubani Painting - ages 10 & up (June 12- June 14)3-Warli Art Workshop - ages 10 & up ( June 20- June 21)4-Kalighat Paintings, ages 10 & up ( June 26- June 28)1-Crochet- ages 8 & up ( June 5- June 9)2-Machine sewing/ Embroidery- ages 8 & up (June 12- June 16)3-Crochet- ages 8 & up ( June 20- June 23)4-Machine sewing/ Embroidery- ages 8 & up ( June 26- June 30)

    10. Children’s pictures to be posted on Kalaa media coverage – Print/Social

    YesNo

    11. Want to be part of the mailing list – for new workshops and regular classes?

    YesNo