Check all that apply.

  Monday Nights (January 26th- April 27th) $25.00 for materials

  Wednesday Nights (February 4th- April 29th) FREE 

First Name            Last Name

Address

Phone Number       E- mail

Childcare? (NOTE: Childcare is Free)      Yes     No

If yes, name(s) and age(s) of children:

1.

2.

3.

4.