Virtual Spring Break Camp 2021 Registration Form Paypal

2021 Virtual Spring Break Camp Registration
Camper's Information

Please fill out a separate form per child.
Child's First Name *
Child's Last Name *
Age *
Birthday *
Parent/Guardian's First Name *
Parent/Guardian's Last Name *
Cell Phone *
Email *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Any additional information regarding your child that would be helpful for us to know. *

There is no additional information
Virtual Spring Break Camp is held Monday through Friday

10:30am-11:30am

Any craft supplies required for class will be included in the price listed below* and will be mailed or dropped off using a contactless drop off procedure. The supply kit will be delivered to the address listed on your registration. All of our staff handling the supply kits will be wearing gloves and masks.

*Residences over 15 miles away from Arts on the Horizon may incur a $3-$5 fee for mailing supply kits*
Payment Information

$70 per Child
PayPal *
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By registering your child, you are agreeing to the following:
- The information I have provided on this form is correct as far as I know
- If the program I have registered for is cancelled due to insufficient enrollment, Arts on the Horizon will provide a full refund.
- Arts on the Horizon reserves the right to use, for promotional or archival purposes, any photo taken in classes or camps.
- Although every effort is made to provide a safe environment, I recognize there is always a risk of accident or injury. I agree to be responsible for any medical expense incurred from illness or injury as a result of my child's participation in Arts on the Horizon’s classes or camps. I understand that children are expected to be covered by their own, or their parent’s or guardian’s, insurance. Accordingly, I hereby release Arts on the Horizon from any and all liability, claims, or damages arising out of my child’s participation at Arts in the Horizon’s classes or camps.
- I have read, understood, and agree to the information listed above.
Electronic Signature *
Date *
How did you hear about Arts on the Horizon? (check all that apply) *

Daycare/Preschool Social Media Parent Listserv/Group Local Blog Friend/Word of Mouth AOTH Newsletter Another AOTH Program
You will receive an e-mail confirmation and additional information once your registration has been processed.

For questions, please contact:

Laura Loy, Director of Education

lloy@artsonthehorizon.org
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2021 Virtual Spring Break Camp Registration

Camper's Information

Payment Information