Summer Art Camp

Elements of Art Youth Art Studio After School Arts & Craft Club

317B Main St. Melville, SK S0A 2P0 306-730-9608
Name of Artist

First NameMiddle NameLast Name
Artist’s Birthdate
Ex. May 14, 2015
Artist’s Grade Level
Ex. Grade 5
Gender

Other
Parent/Guardian Email
example@example.com
Phone Number
Format: (000) 000-0000.
Mobile Phone Number
Format: (000) 000-0000.
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Please choose your art camps.
Medical Information
Does your child have any allergies or medical conditions I need to be aware of? If yes, please explain below.
Contact Information in Case of Emergency
Name

First NameLast Name
Contact Number

Area CodePhone Number
Relation to child
Name

First NameLast Name
Contact Number

Area CodePhone Number
Relation to child
Registration Fee and Payment options:

$90 per week.

PAYMENT IS DUE AT TIME OF REGISTRATION.

Spaces are limited.

Please send e-transfer to artwithmrsschick@gmail.com
Should be Empty:

Elements of Art Youth Art Studio After School Arts & Craft Club