Summer Camp 2024 Registration/Payment Form

Are you a returning Camper?*

YesNo

Campers Name *

First NameLast Name

Preferred Pronouns (N/A if you prefer not to answer)*

She/Her, Him/He, They/Them etc.

Campers Birth Date*

Date (recommended for ages 5 and older)

School they attend

Will a sibling be joining camp?

YESNO

Siblings Name

First NameLast Name

Preferred Pronouns (N/A if you choose not to answer)

She/Her, Him/He, They/Them etc.

Siblings Birth Date

Date

Will another sibling be joining camp?

YESNO

Siblings Name

First NameLast Name

Preferred Pronouns (N/A if you choose not to answer)

She/Her, Him/He, They/Them etc.

Siblings Birth Date

Date

Will the siblings be joining all the same camp weeks?

YESNO

List each week siblings will join together

Parent/Guardian Name*

First NameLast Name

Parent/Guardian Email*

example@example.com

Main Phone Number*

Cell phone preferred

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Name*

First NameLast Name

Phone Number*

Cell phones are preferred

Email*

example@example.com

Health Care Provider*

Health Care & Group Number*

member number Group number

Please list any ALLERGIES and or any health/non-health related information we should know about your child

The more information you can provide regarding any additional needs your child may have, the better are able to support them in the classroom.

MAKE SURE TO ADD CAMP TO CART AND CHOOSE QUANTITY BEFORE SUBMITTING

Summer Camp Weeks - TO ADD CAMP TO CART CHECK UPPER LEFT-HAND CORNER, THEN CHOOSE QUANTITY & CHECK TOTAL BEFORE SUBMITTING*

AUGUST CAMPS

CARTOONING & ILLUSTRATION | 7/29 - 8/2 Product Image

CARTOONING & ILLUSTRATION | 7/29 - 8/2Camp time 9 am - 4 pm | Full week of Summer Camp.

$665.00 Quantity

SPY VS. SPY | 8/5 -8/9Camp time 9 am - 4 pm | Full week of Summer Camp.

$665.00 Quantity

DIRECTOR'S CUT | 8/12 - 8/16 Product Image

DIRECTOR'S CUT | 8/12 - 8/16Camp time 9 am - 4 pm | Full week of Summer Camp (SPECIALTY CAMP WEEK).

$725.00 Quantity

FANTASY ART | 8/19 - 8/23Camp time 9 am - 4 pm | Full week of Summer Camp.

$665.00 Quantity

ANCIENT EGYPT | 8/26 - 8/30 Product Image

ANCIENT EGYPT | 8/26 - 8/30Camp time 9 am - 4 pm | Full week of Summer Camp.

$665.00 Quantity

SEPTEMBER CAMPS

ART AROUND THE WORLD | 3 DAY CAMP: 9/2 - 9/4 Product Image

ART AROUND THE WORLD | 3 DAY CAMP: 9/2 - 9/4Camp time 9 am - 4 pm | 3-Day or Single Day Camps. (DISCOUNT NOT AVAILABLE)

$400.00

camp options	Quantity	Price
3 DAY OPTION \| M-W: 9/2-9/4		$400.00
MONDAY: 9/2		$145.00
TUESDAY: 9/3		$145.00
WEDNESDAY: 9/4		$145.00

Early Care/Extended Day

EARLY CARE 8AM DAILY/WEEKLY OPTIONS Product Image

EARLY CARE 8AM DAILY/WEEKLY OPTIONSEarly Drop Off 8 am DAILY OR WEEKLY OPTIONS

$25.00

DAILY OR WEEKLY OPTIONS	Quantity	Price
EARLY CARE 8AM DAILY		$25.00
EARLY CARE 8AM WEEKLY		$100.00

EXTENDED DAY 5PM DAILY/WEEKLY OPTIONS Product Image

EXTENDED DAY 5PM DAILY/WEEKLY OPTIONSExtended Day 5 pm DAILY OR WEEKLY OPTIONS

$25.00

DAILY OPTION	Quantity	Price
EXTENDED DAY 5 PM DAILY		$25.00
EXTENDED DAY 5PM WEEKLY		$100.00

Enter coupon

Total

$0.00

STOP DID YOU APPLY SIBLING COUPON CODE SBLING

PLEASE READ ALL INFORMATION BELOW BEFORE SUBMITTING FORM

PLEASE DOWNLOAD THIS FORM BEFORE SUBMITTING REGISTRATION

Student HEALTH FORM - If your child's has visited the Dr within the last 12 months and you have their health form ready for camp you can upload it here. If you do not have this on hand you can email it to us as soon as you do.

HEALTH FORM

By signing below you have read to and agreed to our Terms & Conditions and Paypal Fees

Date Signed

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Summer Camp Registration Form & Payment

CAMPER'S INFORMATION

Sibling Information

PARENT/GUARDIAN INFORMATION

Emergency Contact Information

Medical Information

DO NOT SUBMIT FORM TWICE - EMAIL US IF FORM HAS ERROR AFTER YOU SUBMIT