Spring Break Art Camp Registration
JANUARY 6th - MAY 23rd
Student's Name
*
First Name
Last Name
Age
*
"A" for Adults
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Will sibling also be attending?
*
Yes
No
Student's Name
*
First Name
Last Name
Age
*
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Parent/Customer Name
*
Contact Number
*
Email
*
Confirmation Email
Invoices and other school notices are sent to emails on file
Address
*
Street Address
Street Address Line 2
City
Zip Code
Emergency Contact Name
*
Same as above
Other
Emergency Contact Number
*
Same as above
Other
Additional Comments/Notes
How did you hear about us?
Internet Search
Driving By
Facebook
Friend Referral
Other
I give my permission for my child's / my photo and artwork to be used in promotional material. Only first name, last initial and age will be used for credit line.
TUITION & FEES
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( X )
Full Days
$
350.00
STUDENTS
1
2
Half Days
$
190.00
STUDENTS
1
2
Siblings Discount
$
-10.00
Enter coupon
Apply
Total
$
0.00
Payment Information
Signature
*
Submit
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