QCPA 2025 Summer Camp Registration
The Quinn Center for Performing Arts
Student Information
Full Name
*
First Name
Last Name
E-mail
*
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Number
*
-
Area Code
Phone Number
Birthdate
*
-
Month
-
Day
Year
Date
T-shirt Size
*
Parent/Guardian
Emergency Contact
*
Please list any medical, mental health, or behavioral diagnoses we should be aware of to support your needs.
*
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Will you need before care?
*
Yes
No
Will you need after care?
*
Yes
No
Will you be attending all 6 weeks of camp?
*
Yes
No
Tuition Rate Disclaimer:
*Please note that if you are not registered for all 6 weeks, the rate for camp increases to $200 per week*
Registration Payment
*
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Registration Deposit
$
50.00
This is a non-refundable payment that secures your child's spot in our summer camp program. Tuition payments are made weekly on Fridays.
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Subtotal
$
0.00
Tax
$
0.00
Shipping
$
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Total
$
0.00
Credit Card Details
First Name
Last Name
Credit Card Number
Security Code
Card Expiration
SUBMIT
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