Name: Creative Expressions
Start: 2025-07-28T09:00:00-04:00
End: 2025-07-31T11:00:00-04:00
Location: Tri-Town Youth Services

Participant First Name*

Participant Last Name*

Participant DOB

Please list any allergies participant has*

Which School does Participant attend?

Email

Parent/Guardian First Name*

Parent/Guardian Last Name*

Parent/Guardian Email*

Phone*

Name of individual picking up participant*

Emergency Contact Phone Number*

Emergency Contact Name*

I grant Tri-Town Youth Services permission to use my/my child’s image in photos or videos for promotional, educational, and outreach purposes, including print, digital, and social media. I understand no compensation will be provided, and I release Tri-Town Youth Services from any liability related to image use.*

Yes

No

Creative Expressions

July 28 @ 9:00 AM - July 31 @ 11:00 AM

Details

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Venue

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