The Fred Oldfield Western Heritage Center

Fred Oldfield Western Heritage Center

Summer Camp '08 Registration Form

 
Camper Name (one per registration form):
 Age
Name of Responsible Party for child student (Must provide if above student is under 18 ):
Address:
City: State: Zip:
E-Mail:
Emergency Telephone:
I am already a Fred Oldfield Western Heritage & Art Center Member   
If you would like to purchase a membership with this order you can take advantage of Member Discounts immediately. Just select the membership catagory you desire from the dropdown box below.  
Membership desired:   
If purchasing a membership, please select the proper price of membership you selected (Cost will be added to this order)    $  
Please list the names of the camps you are registering for:
1.
$
 
2. $
 
3.
$
 
3.
$
 
3.
$
 
3.
$
 
I have a sibling registered. Name:
Additional child discount -10%          $
Grand Total for this Registration:          $
 
 
Credit Card Card # (Please use no spaces)
 Expiration Month and Year
 
Please send your check or credit card information (MasterCard or Visa) to:
The Fred Oldfield Western Heritage Center
2522 No. Proctor #14 • Tacoma, WA 98406

 
Please fill out the form and submit once.

 
   
 
 

 

 

 

The Fred Oldfield Western Heritage & Art Center is a Non-Profit 501 (c) (3) Corporation
All donations to this Center are Tax Deductable.
Your generous contribution will be instrumental in bringing bigger and better arts opportunities to the citizens of our region.

Copyright © 2002 Fred Oldfield Western Heritage & Art Center
fowhc-info@fredoldfieldcenter.org

This page last modified on:  Mon 08/18/08 17:38:10 BST