ART CAMP REGISTRATION 2018

Parent/Guardian Name *

First Name Last Name

Phone Number *

- Area Code Phone Number

Email *

Address *

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Students *

Please select the name and age of the participating student(s). If one or more of the students have medical conditions or heath concerns, check the "health concerns" box. Fill out health concerns for each student. Leave blank if none.

Health Concerns

One or more students have health concerns

Student 1 *

First Name Last Name

Student 1 age *

Student 2 *

First Name Last Name

Student 2 age *

Student 3 *

First Name Last Name

Student 3 age *

Student 4 *

First Name Last Name

Student 4 age *

Student Health Concerns

Emergency contact 1 *

First Name Last Name

Phone Number *

- Area Code Phone Number

Contact 1 relationship to student(s) *

Emergency contact 2 *

First Name Last Name

Phone Number *

- Area Code Phone Number

Contact 2 relationship to student(s) *

SESSION

Sessions run Monday to Friday. Half day (9am-12pm or 12:30pm-3:30) and full day (9am-3:30pm). Parents will be reinbursed for the holiday Monday August the 6th.

Sessions are broken into two half day sessions. Please be sure you select morning AND afternoon timeslots if you wish for your child(children) to attend the full day course.

2017 Session

2018 Session *

Timeslot *

2017 July 3rd - 7th *

2018 July 3rd - 6th *

2017 July 10th - 14th *

2018 July 9th - 13th *

2017 July 17th - 21th *

2018 July 16th - 20th *

2017 July 24th - 28th *

2018 July 23rd - 27th *

2017 July 31st - August 4th *

2018 July 30th - August 3rd *

2017 August 8th - 11th *

2018 August 7th - 10th *

2017 August 14th - 18th *

2018 August 13th - 17th *

2017 August 21st - 25th *

2018 August 20th - 24th *

2017 August 28th - Sept 1st *

2018 August 27th - August 31st *

GST 5%

Total *

CAD Payment

Payment Method

Credit Card
First Name	Last Name
Credit Card Number	Security Code
Expiration Month	Expiration Year
Billing Address
Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

*

Newsletter

Yes, I would like to receive studio news.

Calculation

2018 SUMMER ART CAMP

Emergency contacts