2026 FREE Kids & Youth's Art Camp Registration Form ( ages 6-16)
THIS FORM DUE BY June 7, 2026
CAMP DATE: SATURDAY, JUNE 20, 2026
Questions: AnchorHoustonMedia@gmail.com
Camp Session Information
Kid and Youth 1 Day Art Camp : June 20, 2026 from 8:00 am to 3:00 pm
Breakfast (8:00 am) and Lunch (12:30 pm) will be served. Examples (Tacos and Pizza)
Yes, Camper will eat at Camp. Please list any allergies in Medical Information Section below.
No, Camper will not eat at Camp.
Will your Camper (age 10+) participate in Technology Class?
*
Please Select
No please note that Art Classes and Science Classes are open.
Camper's Age on June 20, 2026
*
Please Select
6
7
8
9
10
11
12
13
14
15
16
Camper's Name
*
First Name
Last Name
Camper's Guardian
*
First Name
Last Name
Camper's Gender
*
Male
Female
Guardian's Email Address
*
example@example.com
Guardian's Phone Number
*
Format: (000) 000-0000.
Mobile Phone Number
Format: (000) 000-0000.
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Camper's T-shirt size (shirts are in adult sizes)
*
XXS
XS
S
M
L
XL
XXL
XXL
Medical Information
Does the camper have allergies including asthma?
*
Please explain on the field provided including any food the camper is allergic to
Has the Camper had a measles vaccination shot?
Please Select
Yes
No
Is the camper currently under medication?
*
Please provide the details, the name of the medication and period of intake
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Contact Information in Case of Emergency
Primary Contact
*
First Name
Last Name
Contact Number
*
Format: (000) 000-0000.
Relation to camper
*
Secondary Contact
First Name
Last Name
Contact Number
Format: (000) 000-0000.
Relation to camper
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