Registration for Live Oak Arts Center
Columbus, TX
Live Oak Arts Summer Camps 2022
Elementary Camp, grades 1-6
Session 1: June 13-17:
Electric Blueprints with Christi Koelker & Boom! Art & Science Collide! with Sue Pape
Select class:
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Live Oak ARTS Center Session 2: June 13-17
Campers First Name
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Campers Last Name
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Select School Attended
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Columbus ISD
Fayetteville ISD
Flatonia ISD
Homeschooled
La Grange ISD
Sacred Heart Catholic School
Schulenburg ISD
St. Anthony Catholic School
St. Michael Catholic School
St. Rose of Lima Catholic School
Round Top Carmine ISD
Weimar ISD
Other
Gender
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F
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Prefer not to choose
Grade when school begins in the fall 2022-2023
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1
2
3
4
5
6
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Please list any allergies or information we need to know about your child:
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(I.e.: dyslexia, peanut allergy, requires an epi-pen, has seizures, etc.)
List individuals who may pick your child up from camp:
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I give permission to use my child's photograph for organizational promotional materials. *ARTS will never use full names
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I Consent
I Do Not Consent
Parent's Information
Parents First Name
Parents Last Name
Parent Email
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example@example.com
Phone Number
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Please enter a valid phone number.
Address/PO Box
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State/Province
Zip Code
Please list at least 2 emergency contacts. Names and phone numbers.
I.e.: Mary Smith, grandmother, 111-222-3333
Arts for Rural Texas is a nonprofit dedicated to educating the children of Fayette County and surrounding areas. Our classes and scholarships are paid for in part by grants. The following 2 questions are used only as part of data sets necessary to earn or report for granted funds. No personal info is attached to this data.
How would you decribe your child?
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American Indian or Alaskan Native
Asian or Pacific Islander
Black or African American
Caucasian
Hispanic
Mixed Races
Household Income?
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$0-$9,999
$10,000-$19,999
$20,000-$29,999
$30,000-$39,999
$40,000-$49,999
$50,000 and up
Payment
Registration is not complete until payment is received.
Online registration requires a credit card payment
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ARTS Fayetteville Session 1, June 13-17, grades 1-6; Electric Blueprints with Christi Koelker & Boom! Art & Science Collide! with Sue Pape
$
95.00
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