Is the student taking any medication? Yes ( ) No ( )
Will parent/guardian pickup student? Yes ( ) No (
)
Fee: $60
Make check or money order payable to: Kwaku Person-Lynn
Send to: P.O. Box 2946, Inglewood, CA 90305
Last day to mail payment: June 11. Otherwise, bring to first class.
Your signature indicates consent to videotape/photograph your child for
class promotional purposes.
IMPORTANT DATES
First class begins Saturday June 16 at 10:00am sharp. Class ends at Noon
Location: AUDUBON MIDDLE SCHOOL – 4120 11th Avenue, Los
Angeles, CA
No Class Saturday July 7 th
Information on this form will not be shared with any entity or person.
Parent/guardian must pickup student by 12:15pm
The class is taught in association with African American Studies, Loyola
Marymount University