2010 CAMP REGISTRATION FORM


Upon completion of the form you will be contacted with your total purchase price.

Please mail payment to:
Hermann-Grima/Gallier Historic Houses
820 Saint Louis St.
New Orleans, LA 70112

Camper 1

 

Name

Age

Grade (as of 9/09)

History Camp - August 2 - 6

History Camp - August 9 - 13

Camper 2

 

Name

Age

Grade (as of 9/09)

History Camp - August 2 - 6

History Camp - August 9 - 13

Name of parent
or guardian

Address

City

State

Zip

Phone

Cell

email

Emergency Contact

Phone

Cell

 
 

Hermann-Grima/Gallier Historic Houses Administrative Office
P. O. Box 56836, New Orleans, LA 70156-6836
Phone:(504) 525-5661 Fax: (504) 568-9735 Email: info@hgghh.org

 
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