PETITE PALETTE 2026 SUMMER CAMP REGISTRATION FORM

PETITE PALETTE 2026 SUMMER CAMP REGISTRATION FORM

Select the camp below for which camp you will be attending
Please fill out the registration form, add your payment information, and click submit.

Contact:
321-277-5819
petitepalette1@gmail.com
https://www.heidilifrage.com
Personal Email
example@example.com

PARTICIPANT INFORMATION
Participant Name

First NameLast Name
Birthdate

MonthDayYear
2 digit month, 2 digit day, 4 digit yearDate
Does your child have any allergies, chronic illness or medical conditions? Please indicate YES or NO. If YES, please describe:
Is your child a:
Who has permission to pick up your child?

HOUSEHOLD/ADULT PRIMARY CONTACT
Parent/Guardian Name

First NameLast Name
Relationship to Participant
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

EMERGENCY CONTACT
Emergency Contact - Name/Relationship
Emergency Contact Phone Number
Please enter a valid phone number.Format: (000) 000-0000.

DETAILS
Occasionally we take photographs of participants for advertisement purposes. Please check the box with your preference.
REFUND POLICY
There are no refunds or credits offered after registration has been paid. In case of facility closure for any reason and no fault of Petite Palette,Inc. no makeup day will be offered.

REGISTRATION AND ATTENDANCE
Your child’s spot is held once camp fee is paid IN FULL.
Please email Heidi Lifrage at petitepalette1@gmail.com at the latest one hour before class starts to let her be aware if your child will be absent on a given day.
Please check the box below to confirm you have read the above information.
PETITE PALETTE ART SUMMER CAMPS SELECTIONS

CLICK THE COST BUTTON TO SELECT THE CAMP. A GREEN CHECKMARK WILL APPEAR CONFIRMING YOUR SELECTION.
SELECT THE CAMP
Mixed Media June 8-11
Flavors of the Caribbean June 8-12
Sand and Sea June 15-18
Calculation
Total for camp:

prevnext( X )
USDDescription
PayPal or Venmo Email
example@example.com
Leave Heidi a message:
Payment Methods

Choose from one of the PayPal options to make your payment.
Should be Empty:

PARTICIPANT INFORMATION