Art Peace Event Registration - Advancing Communities Together

Art Peace II Registration

When: Saturday June 13th (12:00 - 3:00 PM)

Where: 38626 9th Street East Palmdale, CA 93550

Art Peace Registration

Thank you for your interest in Art Peace; Carnival of Creativity! Please complete this form to register for participation in this community celebration of art, expression, and peace.

Contact Information

Full Name

First

Last

Phone

Address

Address Line 1

Address Line 2

City

State

Zip Code

I am registering a youth participant (Under 18)

Parent/Guardian Name

First

Last

Parent/Guardian

Parent/Guardian Email

Family Details

Number of Children Attending:

Ages of Children:

Emergency Contact

Name

First

Last

Phone

Consent & Media Release

I give permission for myself and/or my child(ren) to participate in event activities
I consent to photos/videos being taken for promotional purposes.nd Choice

Parent/Guardian Email of

Signature

Clear Signature

Date / Time

Date

Time