2023 Summer Day Camp Registration

Summer Day Camp Registration

Please fill in all required* information for registration
Thank you for your interest in registering your child or children for summer day camp with Carpe Diem Arts. We are excited about this summer and our plans for each camp.

Please note that a separate form must be completed for each child.
How did you hear about our camps?*
If you heard from a friend, let us know who so we can thank them!
Participant name*

First NameLast Name
Participant birth date*

MonthDayYear
Use format mm/dd/yyyy
Participant Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
School name (in fall)*
School grade (in fall)*
Participant email
Parent will be copied on all email to participant.
Participant phone number
Parent/Guardian name*

First NameLast Name
Parent/Guardian phone number*
Parent/Guardian email*
Emergency contact*

First NameLast Name
Contact phone number*
Sibling Discount Eligible?*

NoYes
Name of Sibling you've already registered

First NameLast Name
Please use Discount Code
Sib10
at checkout below to get your 10% registration discount.
To direct you to the correct page, please choose your payment method:*

Credit cardCheck

Camper Details and Terms & Conditions
Will the camper need a loaner ukulele?*

YesNo
Do you give permission for your child to be photographed or recorded?*

YesNo
Current language skills *
Campers must be semi-fluent in the chosen language camp either as a native speaker, or via enrollment in a language immersion program, or having lived abroad.
Special Interests and Skills
Are there goals for your child participating in this camp?
Please list any specific goals or objectives your child may have
Other info about the camper
Let us know about any special conditions for your child
Terms and Conditions
Should be Empty:

Summer Day Camp Registration

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