Mini Art Camp Student Registration Form

Mini Art Camp Registration Form

July 6th - 10th 2026 | Ages 4-6
Note: if you're signing up more than one student, we will need to have you fill out a registration form for each student.
Student Name*

First NameLast Name
Date of Birth*

MonthDayYear
Date
Age*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian's Information
Parent/Guardian's Name - Primary*

First NameLast Name
Phone Number*
Please enter a valid phone number.
Email*
example@example.com
Parent/Guardian's Name - Secondary*

First NameLast Name
Phone Number*
Please enter a valid phone number.
In case of emergency, who will be notified? Please answer the fields below:
Emergency Contact Person*

First NameLast Name
Emergency Phone Number*
Please enter a valid phone number.
Health History

Choose any of the follow if applicable.

	Yes	No
Fainting episodes during exercise
Epileptic
Wears dental appliance
Hearing problem
Asthma
Trouble breathing during exercise
Hospitalized in the past year
Takes regular medication
Allergies of concern
Wears a Medic Alert bracelet or necklace
Diabetic
Heart Condition
Wears contacts
Are glasses shatter proof (if yes to glasses)
Has had injuries requiring medical attention this past year

If you chose yes for any of the above please give further details.
Include any relevant health information Tempo Studio Inc. should know about.
Payment Terms

Once we receive your signed registration form, we will send a payment link for a $40 +HST deposit to hold your spot and you will owe $327 +HST on the first day of camp. We accept payment via credit/debit.
Date Signed

MonthDayYear
Date
Parent/Guardian Signature

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Mini Art Camp Registration Form