Back Porch Studio Summer Camp Registration Form

Back Porch Studio Summer Camp Registration Form

Please fill out your child's details, select the weeks attending, and provide allergy and payment information.
Camper's Full Name

First NameLast Name
Camper's Age (Must be 10-14)
Parent/Guardian Name

First NameLast Name
Parent/Guardian Email
example@example.com
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Please select the week(s) your child will attend:
Does your child have any allergies? Please specify.
Lunch and snacks must be provided by the parent/guardian. Please confirm you understand.
My Products
prevnext( X )
Week 1
June 8-12

$200.00 Quantity



Week 2
June 15-19

$200.00 Quantity



Week 3
June 22- June 26

$200.00 Quantity



Week 4
June 29-July 3

$200.00 Quantity



Subtotal

$0.00

Tax

$0.00

Total

$0.00
Confirmation of PICK UP REQUIRED AT LEAST 30 MINS AFTER CAMP ENDS AT 1PM AND MUST BE provided by the parent/guardian or please contact me directly anytime at (904)859-6044. Please confirm you understand.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Debit or Credit Card

Choose from one of the PayPal options to make your payment.