Alton Holman Heritage Arts, Inc.

Theatre Arts in the Park

One Week Camp

June 22-26, 2009

$75 – limited to 35 students, ages 8-17

Contacts:

Winifred Morrow 706-777-8542  cell 770-546-6864

Steve Craw 706-777-8789

Sarah Livingston 706-767-0722,  CS Library

Email: AHHAS@bellsouth.net

LINK TO PRINTABLE APPLICATION

Held at the Hearn Classroom Building in Rolater Park.

No auditions required.

Bring a sack lunch, fill out Health and Release Forms.

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Alton Holman Heritage Arts, Inc.

P.O. Box 390, # 3 Georgia Ave., Cave Spring, Georgia 30124

Theatre Arts in the Park

1 week $75 – limited to 35 students, age 8-17

Register with Sarah Livingston at the CS Library, or mail to AHHAS

Contact: Winifred Morrow, Steve Craw, or Sarah Livingston

706-777-8542/770-546-6864, 706-777-8789, or 706-767-0722

NAME: _____________________________________Preferred name: ___________

Home Address: ________________________________________________________

City __________________ State ______________ Zip ___________

Phone: (___)____________________ Email: ________________________

Date: June 22-26, 2009

 Requirements:

Bring a sack lunch, Fill out health and release forms.   Bring a Cave Spring Story.

Time: 8:30 a.m. to 4:00 p.m.

Place: Hearn Classroom Building, Rolater Park, Cave Spring

Emergency Information:

Who to call: ____________________________________Relationship:___________

Day Phone: (___)___________________ Evening Phone: (___)________________

Cell Phone: (___)___________________ Preferred Hospital:

Special Needs:

By signing below I agree that my child should follow instructions for safe handling of materials and equipment. I also agree that AHHAS or the Cave Spring Historical Society are not responsible for accidents.

Parent Signature:__________________________________Date:__________________                                              

This line for AHHAS use. Amount Paid:                    Date:______________

Check: #:          Cash:________ 

May be copied.