Student Registration Form for LatinSummer

LATINSUMMER NEW HAMPSHIRE

EVENT DATE: JUNE 27, 2008 / REGISTRATION DEADLINE: JUNE 6, 2008

Student Name:

Preferred Name:

Street Address:

City, State, & Zip:

Parent/Guardian:

Phone Number (include area code):

Student Age:

Grade Level:

School:


Upon registration and shortly before the program, you will receive a confirmation letter and directions.

Created by Contact Form Generator

©2008 Ascanius: The Youth Classics Institute
P.O. Box 70838, Richmond, Virginia 23255 U.S.A. | email: info@ascaniusyci.org | phone: (866) 521-6916 | fax: (270) 423-2349