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$200.00

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- June 2nd - June 6th
Week 2- June 9th - June 13th
Week 3 - June 16th - June 20th
Week 4 - June 23rd - June 27th
Week 5 - June 30th - July 3rd*
Week 6- July 7th - July 11th
Week 7- July 14th - July 18th
Week 8- July 21st - July 25th
Week 10- July 28th - August 1st
Week 11- August 4th - August 8th
Week 12- August 11 - August 15th

Item subtotal:$0.00

5 Day Art Camp Half Days - 10 AM-3 PM$390.00

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$570.00

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 2025 Camp Registration

Credit Card