Registration Form
Registration closes MAY 27th
How many campers are you registering?
*
Please Select
1
2
3
4
5
6
7
8
9
10
Camper's Name (*if registering more than one child, write additional children's names and ages in box below)
*
First Name
Last Name
Age of your camper:
*
Please Select
9
10
11
12
13
14
15
15
17
Names and ages of additional campers:
Parent/Guardian's Name
*
First Name
Last Name
Parent/Guardian's Email
*
example@example.com
Parent/Guardian's work phone number
*
Please enter a valid phone number.
Parent/Guardian's cell phone number
*
Please enter a valid phone number.
Cell phone number of camper (if they have one)
Please enter a valid phone number.
Emergency Contact - Name & Phone Number (write N/A if same as parent/guardian)
*
Address of child
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Select all of the weeks you are registering for (class offerings differ slightly each week but the 10am-4pm, Mon-Thurs schedule remains the same all 4 weeks):
*
Session 1 : June 3-6 - Screenprinting & Natural Dyeing
Session 2 : June 10-14 - Weaving, Spinning/Knitting and Natural Dyeing
Session 3 : June 17 - 20 - Weaving, Spinning/Knitting and Natural Dyeing
Session 4 : June 24 - 27 - Screenprinting, Spinning/Knitting & Natural Dyeing
Are there any days in the weeks you selected that your camper(s) will not be able to attend the program? (write N/A if this does not apply)
*
I agree to the above Waiver Statement:
*
I agree
Please describe medical conditions, allergies, dietary restrictions or any other information staff should be aware of in order to best support your child. Are there any fears or circumstantial hardships we need to be aware of in order to make your child feel comfortable? This information will be kept confidential (write N/A if this does not apply):
*
I agree to the above Covid-19 Warning & Disclaimer
*
I agree
Is there anything not on this form that needs mentioning?
Your camper's spot is not reserved until the $25 registration fee is paid. This fee is per child for one to four weeks.
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I understand that by clicking below I will complete payment on the next page to ensure my child or children's spot(s) are reserved.
Full refunds are available if cancelling 7 days before the beginning of the weekly session. No refund will be given within a week from the session's run date.
*
I understand the refund and cancellation policy.
Questions?
contact: director@nmfiberartscenter.org
Click here to complete payment
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