ArtistWithin SUMMER CAMP Registration

Summer 2023 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 Above
Emergency Contact Number*

Same As Above
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Tuition

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

Select AM or PM, and number of students for each week wanting to attend

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

QuantityCamp Week

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

Select Camp Week and the number of students attending

QuantityCamp Week

Enter coupon

Total $0.00

Summer 2023 Camp Registration