
Sample Registration Form
Student Name(s) &
Ages____________________________
________________________________________________
Family contact name
________________________________________________
Phone
___________________________________________
Complete Mailing
address____________________________
_________________________________________________
_________________________________________________
$45 for the first child ($20 siblings).
Make checks payable to CAW and send to
CAW
P.O. Box 1185
La Veta, CO 81055
Thanks to a grant from Target, scholarships are
available upon request! Call Linda at 719 742-5181
I give CAW my permission to use photos of
_________________
________________________________(names of Child or
Children)
and their artwork for future outreach to CAW children
and families.
I give CAW permission to provide supervised art
opportunities
for
_________________________________________________________
(names of children age 9-12) Located at different
points (daily field trips) around the town of La Veta.
Parent/Guardian name
_________________________________________________________
Parent/Guardian signature
_________________________________________________________
Date ______________________________