Creative Artists Zoom Program Registration (Fridays 10AM-12PM)
Please complete the form below to register for the Creative Artists Zoom Program. If you have any questions before registering, please email ishrats@lampchc.org. Once you have been registered, you will receive an email from the LAMP EarlyON staff.
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Email *
Adult First Name *
Adult Last Name *
Phone Number *
Child First Name (If you have more than 1 child you would like to register, please write both of their names) *
Child Last Name  (If you have more than 1 child you would like to register, please write both of their names) *
Child Date of Birth (If you have more than 1 child you would like to register, please write both of their dates of birth) *
Are you currently registered in any other programs that LAMP EarlyON offers? *
Please write the name of the LAMP EarlyON programs your child attends.
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