ArtistWithin SUMMER CAMP Registration

Student's Name*

First NameLast Name

Age*

School

List any allergies or medical conditions the school needs to be aware of

Will sibling be attending as well?

YesNo

Student's Name

First NameLast Name

Age*

School

List any allergies or medical conditions the school needs to be aware of

Parent's Name*

First NameLast Name

Contact Number*

E-mail*

Address*

Street Address

Street Address Line 2

CityState

Zip Code

Emergency Contact Name*

Same As AboveOther

Emergency Contact Number*

Same As AboveOther

How did you hear about us? Please check all that apply

Tuition

New Student Registration$35.00

New students to the school must select this for the first time entry

Quantity

5 Day Art Camp (2 Hours a Day) Mon - Fri 2$195.00

Select AM or PM, and number of students for each week wanting to attend. *indicates 4 day week contact us for coupon code for these weeks

Camp Week	Session	Number of Students
Week 1-May 28th - 31st*
Week 2- June 3rd - June 7th
Week 3 - June 10th - June 14th
Week 4 - June 17th - June 21st
Week 5 - June 24th - June 28th
Week 6- July 1st - 3rd and July 5th*
Week 7- July 8th - July 12th
Week 8- July 15th - July 19th
Week 10- July 29th - August 2nD
Week 11- August 5th - August 9th
Week 12- August 12th - August 16th

Item subtotal:$0.00

5 Day Art Camp Half Days - 10 AM-3 PM$370.00

Select the Camp Week wanting to attend and number of students attending. If you would like to sign up for multiple weeks you can do so with the Additional Week options. If you would like to sign up for more than 4 weeks email Rachel at artistwithintx@gmail.com

	Number of Students	Camp Week
Single Week
Additional Week 1
Additional Week 2
Additional Week 3
Additional Week 4

5 Day Art Camp Full Days - 10 AM-5 PM$530.00

Select the Camp Week wanting to attend and number of students attending. If you would like to sign up for multiple weeks you can do so with the Additional Week options. If you would like to sign up for more than 4 weeks email Rachel at artistwithintx@gmail.com

	Number of Students	Camp Week
Single Week
Additional Week 1
Additional Week 2
Additional Week 3
Additional Week 4

Enter coupon

Total $0.00

Credit Card

Enter the message as it's shown*

Summer 2024 Camp Registration

Credit Card