Art Camp Registration Form 2024
Camper's Name
*
First Name
Last Name
Camper's Date of Birth
*
-
Year
-
Month
Day
Camper's Age
*
T-shirt Size (youth)
Please Select
Small
Medium
Large
X-large
Gender
*
Female
Male
Sibling's Name
First Name
Last Name
Sibling's Birthday
-
Year
-
Month
Day
Date
Sibling Age
Sibling Gender
Female
Male
Other
Parent/Guardian
Parent/Guardian Name
*
First Name
Parent/Guardian Last Name
Parent/Gardian Name
First Name
Parent/Guardian Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Primary Phone Number
*
Parent/Guardian Other Phone Number
Coming with a friend? Please put their names below.
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Medical Information
Does your camper have allergies:
*
Yes
No
Please list allergies:
Please explain on the field provided including any foods to which the camper is allergic. Is your camper allergic to latex?
Medications, both prescription and over the counter drugs can NOT be administered by ANY camp staff. This includes epi pens. You should have listed any allergies above.
*
Please Select
I have read the policy above and understand
We love to take pictures of our campers creating and having fun to share on our social media sites and other studio advertisements. Do we have permission to take pictures of your camper? Pictures are used on marketing materials, social media etc.
*
Please Select
I give permission
I don't give permission
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Contact Information in Case of Emergency
Please enter information for Emergency Contact
Name of Emergency Contact Person
*
First Name
Last Name
Emergency Contact Number
*
-
Area Code
Phone Number
Can they be a pick up for your camper ?
Yes
No
Other people who may pick up your camper.
First Name
Last Name
Alternate Pick Up Phone Number
-
Area Code
Phone Number
HOW DID YOU HEAR OF US?
*
Returning Camper
Referred by a Friend
google
Email Blast from Cheers N Paint
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SUMMER CAMP WEEKS
Please click on check box(es) below for camp week options **CAMP WEEKS ARE NON REFUNDABLE**
Select Camp Weeks
*
June 10th- June 14th - GET MESSY! - Full Day
June 10th- June 14th - GET MESSY! - AM
June 10th- June 14th - GET MESSY! - PM
June 13th Day Pass - Full Day
June 13th Day Pass - Half Day
June 14th Day Pass- Full Day
June 14th Day Pass - Half Day
June 17th - June 21 st - Wizarding World - Full Day
June 17th - June 21 st - Wizarding World - AM
June 17th - June 21 st - Wizarding World - PM
June 24th - 28th - Animal Adventures - Full Day
June 24th - 28th - Animal Adventures - AM Session
June 24th - 28th - Animal Adventures - PM Session
July 8th - July 12th - Art and Science- Full Day
July 8th - July 12th - Art and Science - AM
July 8th - July 12th - Art and Science - PM
July 15th - 19th — This is my Paint Era - Full Day
July 15th - 19th — This is my Paint Era - AM
July 15th - 19th — This is my Paint Era - PM
July 22nd - July 26th - Kick off the Olympics - Full
July 22nd - July 26th - Kick off the Olympics - AM
July 22nd - July 26th - Kick off the Olympics - PM
July 29th - August 2nd - It’s a Small World - Full Day
July 29th - August 2nd - It’s a Small World- AM
July 29th - August 2nd - It’s a Small World - PM
August 5th - August 9th- Rocking with Paint - Full Day
August 5th - August 9th- Rocking with Paint - AM
August 5th - August 9th- Rocking with Paint - PM
August 12th - August 16th - Out of this world - Full Day
August 12th - August 16th - Out of this world - AM
August 12th - August 16th - Out of this world - PM
August 19th - August 23rd - Under the Sea - Full Day
August 19th - August 23rd - Under the Sea - AM
August 19th - August 23rd - Under the Sea - PM
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Payment Options
Select your weeks and quantity
My Products
*
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next
( X )
Full Day
$
380.00
FULL DAY HOURS: Hours 9:00 AM - 4:00 PM
Quantity
June 10th - June 14th - It's Messy
1
2
3
4
5
6
7
8
9
10
June 17th - June 21st Wizarding World
1
2
3
4
5
6
7
8
9
10
June 24th - 28th Animal Adventure
1
2
3
4
5
6
7
8
9
10
July 8th - July 12th Art and Science
1
2
3
4
5
6
7
8
9
10
July 15th - 19th This is my Paint Era
1
2
3
4
5
6
7
8
9
10
July 22nd - July 26th Kicking off the Olympics
1
2
3
4
5
6
7
8
9
10
July 29th - August 2nd It's a Small World
1
2
3
4
5
6
7
8
9
10
August 5th - August 8th Rocking with Paint
1
2
3
4
5
6
7
8
9
10
August 12th - August 16th - Out of this World
1
2
3
4
5
6
7
8
9
10
August 19th - August 23rd Under the Sea
1
2
3
4
5
6
7
8
9
10
Full Day - Second Week or Sibling Rate
$
355.00
** Price is based on purchasing a Full Day Week** Hours 9:00 AM - 4:00 PM
Quantity
June 10th - June 14th - It's Messy
1
2
3
4
5
6
7
8
9
10
June 17th - June 21st Wizarding World
1
2
3
4
5
6
7
8
9
10
June 24th - 28th Animal Adventure
1
2
3
4
5
6
7
8
9
10
July 8th - July 12th Art and Science
1
2
3
4
5
6
7
8
9
10
July 15th - 19th This is my Paint Era
1
2
3
4
5
6
7
8
9
10
July 22nd - July 26th Kicking off the Olympics
1
2
3
4
5
6
7
8
9
10
July 29th - August 2nd It's a Small World
1
2
3
4
5
6
7
8
9
10
August 5th - August 8th Rocking with Paint
1
2
3
4
5
6
7
8
9
10
August 12th - August 16th - Out of this World
1
2
3
4
5
6
7
8
9
10
August 19th - August 23rd Under the Sea
1
2
3
4
5
6
7
8
9
10
AM Half Day
$
215.00
Hours 9:00 AM - 12:30 PM
Quantity
June 10th - June 14th - It's Messy
1
2
3
4
5
6
7
8
9
10
June 17th - June 21st Wizarding World
1
2
3
4
5
6
7
8
9
10
June 24th - 28th Animal Adventure
1
2
3
4
5
6
7
8
9
10
July 8th - July 12th Art and Science
1
2
3
4
5
6
7
8
9
10
July 15th - 19th This is my Paint Era
1
2
3
4
5
6
7
8
9
10
July 22nd - July 26th Kicking off the Olympics
1
2
3
4
5
6
7
8
9
10
July 29th - August 2nd It's a Small World
1
2
3
4
5
6
7
8
9
10
August 5th - August 8th Rocking with Paint
1
2
3
4
5
6
7
8
9
10
August 12th - August 16th - Out of this World
1
2
3
4
5
6
7
8
9
10
August 19th - August 23rd Under the Sea
1
2
3
4
5
6
7
8
9
10
PM Half Day
$
215.00
Hours 1:00 PM - 4:30 PM
Quantity
June 10th - June 14th - It's Messy
1
2
3
4
5
6
7
8
9
10
June 17th - June 21st Wizarding World
1
2
3
4
5
6
7
8
9
10
June 24th - 28th Animal Adventure
1
2
3
4
5
6
7
8
9
10
July 8th - July 12th Art and Science
1
2
3
4
5
6
7
8
9
10
July 15th - 19th This is my Paint Era
1
2
3
4
5
6
7
8
9
10
July 22nd - July 26th Kicking off the Olympics
1
2
3
4
5
6
7
8
9
10
July 29th - August 2nd It's a Small World
1
2
3
4
5
6
7
8
9
10
August 5th - August 8th Rocking with Paint
1
2
3
4
5
6
7
8
9
10
August 12th - August 16th - Out of this World
1
2
3
4
5
6
7
8
9
10
August 19th - August 23rd Under the Sea
1
2
3
4
5
6
7
8
9
10
Day Pass-Full Day
$
80.00
Hours 9:00 am - 4:30 pm
Quantity
June 10th
1
2
3
4
5
6
7
8
9
10
June 11th
1
2
3
4
5
6
7
8
9
10
June 12th
1
2
3
4
5
6
7
8
9
10
June 13th
1
2
3
4
5
6
7
8
9
10
June 14th
1
2
3
4
5
6
7
8
9
10
Day Pass- AM Half Day
$
50.00
Hours 9:00 am to 12:30 pm
Quantity
June 10th
1
2
3
4
5
6
7
8
9
10
June 11th
1
2
3
4
5
6
7
8
9
10
June 12th
1
2
3
4
5
6
7
8
9
10
June 13th
1
2
3
4
5
6
7
8
9
10
June 14th
1
2
3
4
5
6
7
8
9
10
Day Pass- PM Half Day
$
50.00
Hours 1:00 pm - 4:30 pm
Quantity
June 10th
1
2
3
4
5
6
7
8
9
10
June 11th
1
2
3
4
5
6
7
8
9
10
June 12th
1
2
3
4
5
6
7
8
9
10
June 13th
1
2
3
4
5
6
7
8
9
10
June 14th
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
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