Splatters create & Workshop Form

Parent's First Name *

Childs First Name: *

Childs Last Name: *

E-mail Address: *

Child's Birthday *

Childs Age: *

Phone Number: *

Street Address: *

City: *

State: *

Postal Code: *

Workshop *

Workshop date (only offered Mon-Fri.): *

Workshop time: *

Comments / Questions:

* Required

2009 Splatters Create-&-Party LLC. ® updated 1/3/2012