Young Artists Playground Summer Camp Registration Form

Young Artists Playground Summer Camp Registration Form

To register a camper, please complete the form below and complete the payment process.
Camper's Name: *

First Name Last Name
Birth Date: *

Month Day Year
Home Phone Number: *

Area Code Phone Number
Mobile Number:

Area Code Phone Number
Email Address: *
Camper's preferred pronouns: *
Primary Address: *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code Country
Select Camp shirt size: *

Youth Small Youth Medium Youth Large Youth Extra-large Adult Small Adult Medium Adult Large Adult Extra-large
Please provide any medical, allergy or dietary restrictions you have:
How did you hear about Camp?: *
Family Information
Parent/Guardian's Name: *

First Name Last Name
Contact Phone Number: *

Area Code Phone Number
E-mail Address: *
Emergency Contact Information
Emergency Contact Name: *

First Name Last Name
Emergency Contact Phone Number: *

Area Code Phone Number
Relationship to Camper: *

My Products

Early Bird Young Artists Playground Camp Registration $ 1,200.00

Pay registration fee in full by May 31, 2022 to save $300!

Quantity

Young Artists Playground Camp Registration $ 1,500.00

Registration fee for Young Artists Playground Summer Camp if paid after June 1, 2022.

Quantity

Total $ 0.00

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