Summer Camp Registration

Creative Art Start - Summer art and maker camp

Registration - Check application
Campers Name*

First NameLast Name
Birth Date*

MonthDayYear
School and Grade as of September 2023*
Parents/Guardian Name #1*

First NameLast Name
Parents/Guardian Name #2 (if applicable)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Home Number*
Cell Number*
E-mail*
example@example.com
Emergency Information
Emergency Contact's Name*

First NameLast Name
Relationship
Phone Number:*
Child's Doctor/phone:
Please enter a valid phone number.
Caretakers name and phone if applicable:
Please enter a valid phone number.
Any special needs or additional information?
Please check which week/s camper will be participating:
prevnext( X )
Week 1: June 20th to 23rd. 9:00am to 3:00pm (Tues - Thurs)  9:00am - 1:00 pm (Fri) - $820
$820.00



Week 4: July 10th - 14 (Mon - Fri) 9:00am to 3:00pm (Mon - Thurs). 9:00am - 1:00 pm (Fri) - $915
$915.00



Total

$0.00
Confirmation BY ACKNOWLEDGING AND SIGNING 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.
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Creative Art Start - Summer art and maker camp