Summer Camp Registration Form 2025

Summer Camp Registration

AGES 3 AND UP ARE WELCOME. MUST BE POTTY TRAINED.
🌞 Summer Camp 2025 Disclosure Statement 🌞
Welcome to an unforgettable summer with us! Camp registration is $750.00 per child, and registration closes on June 13th, 2025. All families are welcome, and we’re happy to offer a sibling discount to support multi-child households. Our summer program includes weekly field trips packed with fun and learning!

Once you complete your registration, you will be automatically directed to the payment form to submit your summer camp payment and secure your spot.

Let the summer adventures begin!
Student Information
Student's Name*

First NameLast Name
Birth Date*

MonthDayYear
Grade COMPLETED in June 2025*

PRE-K4Kindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th Grade
Sibling's Name ATTENDING Camp (optional)

First NameLast Name
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian Information
Name*

First NameLast Name
Cell Number*

Area CodePhone Number
E-mail*
Confirm E-mail*
example@example.com
What STATE & COUNTY does your child attend school in?*
Emergency Information Other than the name listed above
Emergency Contact's Name*

First NameLast Name
Relationship*
Emergency Contact Phone Number*

Area CodePhone Number
Alt. Phone Number

Area CodePhone Number
Did you "Refer a Friend"? Please tell us the registered camper you invited who hasn't been to our Summer Camp before!
Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by (Raw Talent Performing Arts) during the selected camp.
AgreeI do not agree
Media Disclosure (Raw Talent Performing Arts) may periodically photograph students participating and working during camp. These photographs may be used in a variety of ways; Public relations and marketing purposes: images printed on brochures, posters, and newsletters, or on (Raw Talent Performing Arts Website, Facebook Page, and/or other art, education, or news related publications. Please indicate whether you will allow publication of photographs taken of your child/children and their literacy work during classes. Names will not be included in photographs or posted on social media. We appreciate your support and would love the chance to share pictures of all of the fun being had at our Summer Arts and Entrepreneurship Camp. You can also follow us on Facebook, Instagram and LinkedIn to capture all of the pictures yourself!
AgreeI do not agree
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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