Spring Break 2021 Camp Registration
March 15th - 19th
Student's Name
*
First Name
Last Name
Age
*
School
List any allergies or medical conditions the school needs to be aware of
Will sibling be attending as well?
Yes
No
Student's Name
First Name
Last Name
Age
*
School
List any allergies or medical conditions the school needs to be aware of
Parent's Name
*
First Name
Last Name
Contact Number
*
E-mail
*
Address
*
Street Address
Street Address Line 2
City
Please Select
Alabama
Alaska
Arizona
Arkansas
California
Colorado
Connecticut
Delaware
District of Columbia
Florida
Georgia
Hawaii
Idaho
Illinois
Indiana
Iowa
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Puerto Rico
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virgin Islands
Virginia
Washington
West Virginia
Wisconsin
Wyoming
State
Zip Code
Emergency Contact Name
*
Same As Above
Emergency Contact Number
*
Same As Above
If interested in signing up for more than one camp week, call Amber for specials! 713-464-2787
How did you hear about us? Please check all that apply
Internet Search
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Groupon
Friend Referral
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Tuition
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5 Day Art Camp (2 Hours a Day) Mon - Fri
$
185.00
Select AM or PM, and number of students attending
Sessions
10 AM - 12 PM
1 PM - 3 PM
Quantity
1
2
3
4
Half Days - 10 AM-3 PM
$
360.00
Select number of students attending
Quantity
1
2
3
4
Enter coupon
Apply
Total
$
0.00
Credit Card
First Name
Last Name
Credit Card Number
Security Code
Expiration Date
Postal Code
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*
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