Set the Stage 2022 Registration (Session 3)

Custodial Parent / Guardian Information
Name *

First Name Last Name
Relationship to Student *
Cell Phone Number *
Please enter a valid phone number.
Home Phone Number *
Please enter a valid phone number.
Email *
example@example.com
Please check one: *

Custodial Parent/Guardian's address is same as student's Custodial Parent/Guardian's address is different from student's
Custodial Parent / Guardian Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Contact Name *

First Name Last Name
Emergency Contact Phone Number *
Please enter a valid phone number.
Emergency Contact Relationship to Student *
Please list any name permitted for pick-up/drop-off of student: *

Extended Care Program
Extended Care operates daily on camp days, excluding Holidays (ex. July 4th). (Please refer to the daily camp schedule). The program will provide fun and creative activities to keep your camper(s) happy and engaged until they are picked up. Early and After Care fees must be paid in advance and any late fee should be paid daily at the time of pickup (late pickup fee = $5 for every 15 minutes). If a payment is not made, the child will lose their extended care benefit.

Early Care: 8am-9am, Monday - Friday
$30.00 (per student, per session)

After Care: 4pm-6pm, Monday - Friday
$75.00 (per student, per session)

Both Extended Care Services
$90.00 (per student per session)
Please select which extended care service you would like for your student.

Early Care (8am-9am) After Care (4pm-6pm) Both Extended Care Services I will not be needing extended care services

Terms of Agreement
I agree that my camper is able to attend all three weeks of camp and will be participating in the final performance. *

Yes Other
I understand that if my camper is absent for more than three days in a row, they could their spot in the camp. *

Yes
I understand that Arts Garage does not offer full refunds for camp registration. *

Yes
Should be Empty:

Set the Stage 2022 Registration