Its All About Arts and Minds Summer Program Registration Form
Register your child for our summer program and complete payment securely online.
Student Information
Please enter your child's details below.
Student First Name
*
Student Last Name
*
Date of Birth
*
-
Month
-
Day
Year
Date
Grade (upcoming school year)
*
Please Select
K
1st
2nd
3rd
4th
5th
Parent/Guardian Information
Who should we contact regarding this registration?
Parent/Guardian Full Name
*
Email Address
*
example@example.com
Primary Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Emergency Contact Name
*
Emergency Contact Relationship
*
Emergency Contact Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Enrollment Details
Select your preferred program and payment plan.
Payment Plan
*
Weekly ($550 per week)
Monthly
Full Program (8 weeks) $3,950
Select Your Weeks
*
Week 1: June 8–12
Week 2: June 15–19
Week 3: June 22–26
Week 4: June 29 – July 2
Week 5: July 13–17
Week 6: July 20–24
Week 7: July 27–31
Week 8: August 3–7
Closed the week of July 6 –July 10 for Summer Break
Select Monthly Program
*
June Program (4 weeks): $2,000
July–August Program (4 weeks): $2,000
T-Shirt Size ( one-time $20 fee)
*
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Required for all field trips
T-Shirt Size (Included - no fee)
*
Please Select
Youth XS
Youth S
Youth M
Youth L
Youth XL
Adult S
Adult M
Adult L
Adult XL
Required for all field trips
Health & Safety
Tell us about any health or medical needs.
Allergies if any
Medical Conditions if any
Dismissal & Pickup
Who is authorized to pick up your child?
Authorized Pickup Persons (list all names)
I understand a valid ID is required for pickup.
*
I understand a valid ID is required for pickup.
Permissions
Please provide your consent for the following.
Do you give permission for photos or videos of your child to be taken and used for our website and social media?
*
Yes, I give permission
No, I do not give permission
I authorize the program to call 911 and obtain emergency medical treatment for my child if needed, including ambulance transport, and to share necessary medical information (such as allergies) with providers if I cannot be reached. I confirm the health information I provided is accurate and understand I am responsible for any medical costs not covered by insurance. If I do not agree to this consent, I understand my child will not be able to participate in the program.
*
Yes
Signature
Please sign to confirm your registration.
Parent/Guardian Name (Signature)
*
Date
*
-
Month
-
Day
Year
Date
I understand that all payments are non-refundable and non-transferable, and no partial refunds will be issued for missed days or absences
*
Yes, I understand.
Total Due Today
Payment Amount
*
prev
next
( X )
USD
Description
Payment Methods
Credit Card
Apple Pay
After submitting the form, you will be redirected to Apple Pay to complete the payment.
Google Pay
After submitting the form, you will be redirected to Google Pay to complete the payment.
Cash App Pay
After submitting the form, you will be redirected to Cash App Pay to complete the payment.
Submit Registration & Payment
Submit Registration & Payment
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