Summer Camp

Summer Art Camp Class Registration

Please select your desired age group below.
8-1011-14
YesNoNo, but sign me up! (+$80 Household Membership)
How would you like your name to appear on your membership card, mailings, and in The AGB magazine?*
(ex. Dr. John and Ms. Jane Doe, Mr. and Mrs. John Doe, John and Jane Doe, etc)
Member Number*
More information about membership at The AGB available HERE.
Waiting List Code
If you received a Waiting List Code from AGB staff, please enter it in the box above.

Registration Ages 8 to 10

Please select your desired class(es) from the dropdown menus below.
- 9am-Noon, Session 0 (June 1 to 30)
- TEST Counter
- 9am-Noon, Session 1 (June 2 to 13)
- S1 9-11 Counter
- 1pm-4pm, Session 1 (June 2 to 13)
- S1 2-4 Counter
- 1pm-4pm, Session 1 (June 2 to 13)
- Waiting List Counter 3
- 9am-Noon, Session 2 (June 16 to 27; No Class June 19)
- S2 9-11 Counter
- 1pm-4pm, Session 2 (June 16 to 27; No Class June 19)
- S2 2-4 Counter
- 1pm-4pm, Session 2 (June 16 to 27; No Class June 19)
- Waiting List Counter 9
- 9am-Noon, Session 3 (June 30 to July 11; No Class July 4)
- S3 9-11 Counter
- 9am-Noon, Session 3 (June 30 to July 11; No Class July 4)
- 9am-Noon, Session 3 (June 30 to July 11; No Class July 4)
- Waiting List Counter 8
- 1pm-4pm, Session 3 (June 30 to July 11; No Class July 4)
- S3 2-4 Counter
- 1pm-4pm, Session 3 (June 30 to July 11; No Class July 4)
- 1pm-4pm, Session 3 (June 30 to July 11; No Class July 4)
- Waiting List Counter 7
- 9am-Noon, Session 4 (July 14 to 25)
- S4 9-11 Counter
- 9am-Noon, Session 4 (July 14 to 25)
- Waiting List Counter 1
- 1pm-4pm, Session 4 (July 14 to 25)
- S4 2-4 Counter
- 1pm-4pm, Session 4 (July 14 to 25)
- Waiting List S4 2-4 Counter
- Subtotal
- I have selected all of the classes I want to register for. The green check mark is visible next to the classes I selected.I am having difficulty selecting classes.
- Please contact Megan Carpenter - mcarpenter@agbmuseum.org or call 863-688-7743 ext.5423
- NO CLASSES SELECTED!!!
  
  PLEASE SELECT A CLASS ABOVE BEFORE CONTINUING.

Registration Ages 11-14

Please select your desired class(es) from the dropdown menus below.
- 9am-Noon, Session 0 (June 1 to 30)
- TEST Counter
- 9am-Noon, Session 1 (June 2 to 13)
- S1.1 9-11 Counter
- 1pm-4pm, Session 1 (June 2 to 13)
- S1.1 2-4 Counter
- 1pm-4pm, Session 1 (June 2 to 13)
- Wait List Counter 6
- 9am-Noon, Session 2 (June 16 to 27; No Class June 19)
- S2.1 9-11 Counter
- 1pm-4pm, Session 2 (June 16 to 27; No Class June 19)
- S2.1 2-4 Counter
- 1pm-4pm, Session 2 (June 16 to 27; No Class June 19)
- Waiting List Counter 4
- 9am-Noon, Session 3 (June 30 to July 11; No Class July 4)
- S3.1 9-11 Counter
- 1pm-4pm, Session 3 (June 30 to July 11; No Class July 4)
- S3.1 2-4 Counter
- 9am-Noon, Session 4 (July 14 to 25)
- S4.1 9-11 Counter
- 9am-Noon, Session 4 (July 14 to 25)
- Waiting List Counter 2
- 1pm-4pm, Session 4 (July 14 to 25)
- S4.1 2-4 Counter
- 1pm-4pm, Session 4 (July 14 to 25)
- Waiting List Counter 5
- Subtotal
- I have selected all of the classes I want to register for. The green check mark is visible next to the classes I selected.I am having difficulty selecting classes.
- Please contact Megan Carpenter - mcarpenter@agbmuseum.org or call 863-688-7743 ext.5423
- NO CLASSES SELECTED!!!
  
  PLEASE SELECT A CLASS ABOVE BEFORE CONTINUING.

Student Registration Information

Please complete each section below.
- Child Name*
  
  First NameLast Name
- Grade (Spring of 2025)*
- Birth Date*
  
  MonthDayYear
- Children under the age of 7 who have not completed 1st grade cannot be accommodated due to the Summer Camp curriculum level. If you have any questions, please contact the Education Department at 863-688-5423.
- Emergency Contact's Name*
  
  First NameLast Name
- Relationship*
- Emergency Contact Phone Number*
  Format: (000) 000-0000.
- Alt. Phone Number
  Format: (000) 000-0000.
- Parent/Guardian Name*
  
  First NameLast Name
- Parent/Guardian Name (2)
  
  First NameLast Name
- Address*
  
  Street Address
  
  Street Address Line 2
  
  CityState / Province
  
  Postal / Zip CodeCountry
- Primary Phone Number*
  Format: (000) 000-0000.
- Secondary Phone Number
  Format: (000) 000-0000.
- E-mail*
  Please provide an email address used often. NOTE: All important camp material is sent via email.
- Adults Allowed to Pick up Child
- Create a unique 7 digit numerical security code to be used for your child's secure check-in and check-out process for camp. If you have more than one child registering for a class,
  please use the same code. Please note that the security code cannot start with 0.
- Security Pin cannot start with 0. Please try another number.
- This number is not secure. Please try another number.
- Security Pin*

Payment
Late Fee S1 Counter
Late Fee S2 Counter
Late Fee S3 Counter
Late Fee S4 Counter
Late Fee
Number of Classes Counter
CreateAskate Fee
Non-Member Fee
Join as a Member Fee
Multi-class Discount (-$5 per class)
Class Cost
Total
Promo Code Discount
Date

MonthDayYear
Date
Promo Code
Payer Name*

First NameLast Name
Payer Email*
example@example.com
Billing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Summer Camp Total
Camp is FREE for AGB Teacher kids!

Press "Submit" to complete your registration. Thank you for teaching with us!
Camp is FREE for AGB Staff kids!

Press "Submit" to complete your registration.

BY ACKNOWLEDGING AND CLICKING "SUBMIT" BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Staff Note: The items below are solely used for formatting the PDF receipt sent after submission. They do not calculate anything; they just take the the payment calculations and make them pretty.
Payment Method
Price per Class
Number of Classes
Class Fee
Member Discount Calc
Member Discount
Class Fee Subtotal
Create-A-Skate Material Fee
Late Fee
New Member Fee
Promo Code Discount
Subtotal
Total Amount Paid
Should be Empty:

Credit Card Details
First Name	Last Name
Credit Card Number	Security Code
Card Expiration