Summer Art Camp Registration

Summer Camp: Arts, Crafts and Laughs

Monday - Friday | 9 AM - 4 PM | Summer art camp for all ages!
Student Registration Form

Please fill out the form carefully for registration
Student Name

First Name Middle Name Last Name
Birth Date

Month Day Year
Please list any allergies.
Primary Parent/Guardian Contact Info
Parent/Guardian Name

First Name Last Name
Address

Street Address

Street Address Line 2

City
E-mail
example@example.com
Mobile Number
Phone Number
Work Number
Emergency Contact
Emergency Contact
Full Name
Emergency Contact Phone Number
Course Selection
Please select the camp week you are registering for:

Payment *

One week Summer Art Camp. Monday - Friday, 9am-4pm

$ 380.00 CAD

Subtotal

$ 0.00 CAD

Tax

$ 0.00 CAD

Total

$ 0.00 CAD

I, First Name* Last Name* ,HEREBY WAIVE ANY CLAIM AGAINST ANNEX ART CENTRE AND IT’S STAFF THAT MAY ARISE FROM ANY PHYSICAL INJURY THAT MY CHILD MAY INCUR WHILE PARTICIPATING IN THE ANNEX ART CENTRE WORKSHOPS.
Signature*
Should be Empty:

Summer Camp: Arts, Crafts and Laughs