Summer Art Camp Sign Up

Student's Name

First NameLast Name

Sibling's Name (if more than 1 child is joining)

First NameLast Name

Student's Age/s

Parent's Name

First NameLast Name

Email

example@example.com

Parent Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact (if other than listed above)

First NameLast Name

Emergency Contact Phone number (if other than listed above)

Please enter a valid phone number.Format: (000) 000-0000.

Select what sessions you're child would like to attend to save their spot (You can always add more sessions if the space is available)

Please add any allergies or anything else we should know about your child to ensure the best experience possible :)

Are there any specific art techniques, mediums, or styles your child is interested in learning more about?

I, the undersigned parent or legal guardian, hereby give permission for my child (or children), student's name to participate in the Summer Art Lessons organized by Stacey Maney (Stacey Cat LLC).
I understand that the camp activities may include but are not limited to painting, sculpting, crafting, and outdoor play, and I acknowledge the potential risks involved. I agree to release and hold harmless Stacey Maney (Stacey Cat LLC), volunteers, and affiliates from any and all claims, liabilities, or damages that may arise as a result of my child's participation in the camp. In the event of an emergency, I authorize the camp staff to seek necessary medical treatment for my child and agree to be responsible for any medical expenses incurred.

By signing below, I confirm that I have read and understood this release form in its entirety and voluntarily agree to its terms.
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Summer Art Lesson 2026 Sign Up