Winter Art Camp Registration
December 30, 2019-January 3, 2020
Student's Name
*
First Name
Last Name
Age
*
Grade
School
List any allergies or medical conditions the school needs to be aware of
Will sibling also be attending?
*
Yes
No
Student's Name
*
First Name
Last Name
Age
*
Grade
if applicable
School
List any allergies or medical conditions the school needs to be aware of
Parent's Name
*
First Name
Last Name
Contact Number
*
Email
*
Confirmation Email
Invoices and other school notices are sent to emails on file
Address
*
Street Address
Street Address Line 2
City
Zip Code
Emergency Contact
*
Same as above
Other
Additional Comments/Notes
How did you hear about us?
Internet Search
Driving By
Facebook
Friend Referral
Other
I give my permission for my child's / my photo and artwork to be used in promotional material. Only first name, last initial and age will be used for credit line.
Closed New Year's Day (1/1/20)
TUITION & FEES
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next
( X )
Half Days
$
148.00
Sessions:
9:30 am - 12:00 pm
1:00 pm - 3:30 pm
Students:
1
2
Full Days
$
276.00
9:30 am - 3:30 pm — Students:
1
2
Sibling Discount
$
-10.00
Half Day (1 Day)
$
40.00
Sessions:
1
2
3
4
5
6
7
8
9
10
Full Day (1 Day)
$
72.00
Sessions:
1
2
3
4
5
6
7
8
9
10
Total
$
0.00
Payment Information
Signature
Submit
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