Eye Candy Art Studio Summer Art Camp Registration

Eye Candy Art Studio Summer Art Camp Registration

Voted 'BEST OF GWINNETT 2017, 2018 2019, 2020, 2021, 2022' for our Summer Camp program! Voted 'BEST OF GEORGIA 2022' for Family Amusement Category!
Week / Weeks Attending: *select week(s) attending**

Week 1: June 5-9Week 2: June 12-16Week 3: June 19-23Week 4: June 26-30Week 5: July 5-7 (partial wk)Week 6: July 10-14Week 7: July 17-21Week 8: July 24-28

Select appropriate registration option. **Only pay deposit if not paying for camp in full.*

Whole Week Registration$245.00

Partial Week July 5-7$165.00

Camper Deposit (only due if not paying full camp fee upfront)$55.00

Quantity

Per Day Registration$55.00

Select Days	Quantity
Mon
Tues
Wed
Thurs
Fri

Addt'l Child or Week 10% discount$220.00

Quantity

Enter coupon

Subtotal $0.00Tax $0.00Total $0.00

Credit Card

Camper Information
First Camper's Name*

First NameLast Name
Allergies:
Camper Shirt Size:*

Youth Small 6/8Adult Med.Youth Med.10/12Adult SmallYouth Lg.12/14Adult Large
Age:*
Gender:*

MaleFemale
Second Camper's Name

First NameLast Name
Allergies:
Camper Shirt Size:

Youth Small 6/8Adult Med.Youth Med.10/12Adult LargeYouth Lg.12/14Adult Small
Age:
Gender:

MaleFemale
Third Camper's Name

First NameLast Name
Allergies:
Camper Shirt Size:

Youth Small 6/8Adult Med.Youth Med.10/12Adult LargeYouth Lg.12/14Adult Small
Age:
Gender:

MaleFemale
Parent/Guardian Information
Name*

First NameLast Name
Phone Number to call during camp:*

Area CodePhone Number
E-mail*
Emergency Information: (Person to contact in the event you can't be reached)
Secondary Emergency Contact's Name*

First NameLast Name
Relationship
Phone Number*

Area CodePhone Number
Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by Eye Candy Art, LLC. during the selected camp. In exchange for the acceptance of said child’s candidacy by Eye Candy Art, LLC. ., I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Eye Candy Art, LLC. and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Eye Candy Art, LLC. including all camp leaders and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
Medical Release and Authorization

As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed.

Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.

Permission is also granted to the Eye Candy Art, LLC. and its affiliates including Directors and Camp Leaders to provide the needed emergency treatment prior to the child’s admission to the medical facility.

Release authorized on the dates and/or duration of the registered session.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
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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