Session 1: June 9th-12th
Summer Art Camp
Child's Name
*
First Name
Last Name
Child's Age
*
Sibling's Name
First Name
Last Name
Sibling's Age
Please Select
7
8
9
10
If signing up siblings, fill out sibling's name and age. Siblings get a $15 discount per child.
Anything we should know? (Optional)
Is there any medications, allergies, or behavior we should be aware of? We will not turn away any child for information included here.
Parent / Guardian Name
*
First Name
Last Name
Relation
*
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email
*
example@example.com
Who will pick up?
*
Parent / Guardian Listed Above
Someone Else (Fill out information below)
Name / Relation / Phone Number of people allowed to pick up child.
Emergency Contact
*
Parent / Guardian Listed Above
Someone Else (Fill out information below)
Emergency Contact Name
First Name
Last Name
Relation
Phone Number
Please enter a valid phone number.
Format: (000) 000-0000.
If "Someone Else" is picked above for emergency contact but no information is filled out, we will contact the listed Parent / Guardian listed above in an emergency.
I understand that my reservation is not complete until a deposit of $60 is paid within 2 weeks of submitting my form. If the deposit is not paid in that time, my spot may be given away to someone else.
*
I understand
I have signed up for Session 1: June 9th-12th and forfeit my deposit if I miss the camp. I will call Morning Star Pottery if there are any changes or concerns.
*
I agree
Session 1: June 9th-12th
Submit
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