Bethesda Ages 13-17 Teen Summer Camp Form

Bethesda Ages 13-17 Summer Camp Registration 2022
Step 1: Select quantity to add number of campers per week to your cart.
Campers per week?*
June 20-24 total
June 27-July 1 total
July 5-8 total
July 11-15 total
July 18-22 total
July 25-29 total
August 1-5 total
August 8-12 total
August 15-19 total
Step 2: Select how many campers you are signing up. This will populate a form for each camper.
How many campers are you signing up?*
Step 3: Fill out each camper form and allocate the camp week in your cart to each individual camper.
Camper 1:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Allergies/Special Needs*
NA if none
School Attending*
Camper One Week(s)*

June 20-24June 27-July 1July 5-8July 11-15July 18-22July 25-29August 1-5August 8-12August 15-19August 22-26
Before care/week
After care/week
Camper 1 add on total
Camper 2:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Allergies/Special Needs*
NA if none
School Attending*
Camper Two Week(s)*

June 20-24June 27-July 1July 5-8July 11-15July 18-22July 25-29August 1-5August 8-12August 15-19August 22-26
Before care/week
After care/week
Camper 2 add on total
Camper 3:
Child Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade*
Allergies/Special Needs*
NA if none
School Attending*
Camper Three Week(s)*

June 20-24June 27-July 1July 5-8July 11-15July 18-22July 25-29August 1-5August 9-12August 15-19August 22-26
Before care/week
After care/week
Camper 3 add on total
FULL TOTAL
PARENT/GUARDIAN INFORMATION:
Parent/Guardian Name*

First NameLast Name
Phone Number*

Area CodePhone Number
E-mail*
example@example.com
Emergency Contact *

First NameLast Name
Emergency Number*

Area CodePhone Number
Comments+Friend Request
Policies
I understand Artworks photographs students and artwork for possible use in its publications and/or website. I acknowledge that no compensation is provided to individuals who appear in photographs or videotapes. In an effort to protect my child’s privacy, I understand that names will not be used with any publication. If I am concerned with this policy, I understand it is my responsibility to contact Artworks with my concerns.
Policies*

I agree
Checkout

Total*

USDDescription

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Tax ID
By submitting this form I indicate that I have read and agree to the registration, tuition, and fees. No adjustments will be made for camper absences. Although every effort will be made to provide a safe environment, accidents can occur. I agree to be responsible for any medical bills incurred resulting from illness, or injury during my child's participation at Artworks Fine Art Studio. If necessary, I authorize Artworks to administer first aid/and or authorize medical treatment of my child. A 70% refund will be made up until May 15th. After May 15th there are no refunds or switching camp weeks.
Agreement*

I agree
Should be Empty:

Bethesda Ages 13-17 Summer Camp Registration 2022

Camper 1:

Camper 2:

Camper 3:

PARENT/GUARDIAN INFORMATION:

Policies

Checkout