Summer Camp Registration

Parent/Guardian Name*

First NameLast Name

Relationship*

Parents Email *

Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Cell Phone*

Area CodePhone Number

Daytime phone*

Area CodePhone Number

How many campers is this reservation for?*

OneTwo

Camper 1*

First NameLast Name

Birth Date*

MonthDayYear

Age as of June 1, 2024*

Camper 2

First NameLast Name

Birth Date

MonthDayYear

Age as of June 1, 2024*

Emergency Contact #1 Name *

Relationship*

Emergency Number*

Area CodePhone Number

Emergency Contact #2 Name*

Relationship (2)*

Emergency Number (2)*

Area CodePhone Number

Camper Information
If you have more than one camper attending note the name of the child for which the information applies.

Is there anything we should know about your child to help them enjoy themselves and be successful at camp (medical conditions, diagnoses, sensitivities to textures/scents).

Are there any medications that your child may need during the camp day like a rescue inhaler? We ask that any regularly prescribed or over the counter medicine be administered at home.

List any allergies (ex: bees, peanuts, dairy)

Camp Details
Reserve by May 1 - camp size is limited

Half Day session $240 per child per week
(additional siblings/weeks discounted to $220)

Cosplay session is $320 due to the extended camp day
from 12:30 to 4:30 pm

Age 6 to 10
Morning sessions from 9 am - noon
drop-off from 8:45 to 9, pickup at Noon

Age 10 to 14
Afternoon sessions from 1:00 to 4:00 pm
drop-off at 12:45 pm, pickup at 4:00 pm
Cosplay drop-off at 12:15 pm, pickup at 4:30 pm

A *non-refundable $50 deposit per week of camp is required to reserve your space. Spaces are not confirmed until your deposit is received. *If the camp is cancelled due to lack of attendance your deposit will be refunded*
Bookings must be paid in full by May 1 to guarantee your place, after that spaces will be reserved by payment in full only.
10% discount for payment in full by March 31.
There is a 5% processing fee for CC payments of the balance due

What do campers need to bring:

A snack for each session and a water bottle
Dress comfortably in clothes that are not precious, art is messy and clothing may get stained despite our best efforts to avoid that.
Some weeks we may ask for campers to bring some specific items for projects. Campers and parents will be notified before the week starts.

Cancellation & Refund Policy:

Refund in full (less 5% processing fee) for cancellations before May 15.
No Refunds for cancellations less than 14 days before camp.
Cancellations after June 1 will receive studio credit only. This includes all enrollments received after June 1 (if space is available once camp begins they can be booked up to 2 weeks prior to the start date.)
Transfers will be permitted if space is available. The deadline for transfer requests is 14 days prior to your registered week.
Tuition will be refunded in full if camp is cancelled due to low enrollment.

When you select the AM or PM session the list of camps available will open so you can reserve your preferred week(s).

My Products

AM Camp - Age 6 to 10$50.00

$50 non-refundable deposit per week, the balance will be billed upon receipt. There is a $20 discount for siblings and/or multiple weeks booked. *if camp is cancelled due to lack of attendance your deposit will be refunded

	Quantity
June 17 - Art a la Carte
June 24 - Fine Art
July 8 - Art & Science
July 22 - Fine Art
July 15 - Going Green - unavailable
July 29 - Superheroes Home
August 5 - It's a Shore Thing
August 12 - Into the Wild
August 19 - Gotta Be Me
August 26 - Art a la Carte - unavailable

PM Camp - Age 10 to 14$50.00

$50 non-refundable deposit per week, the balance will be billed upon receipt. There is a $20 discount for siblings and/or multiple weeks booked. *if camp is cancelled due to lack of attendance your deposit will be refunded

	Quantity
June 17 - Cosplay (this session has extended hours)
June 24 - Wearable Art
July 8 - Fiber Arts - unavailable
July 15 - Going Green - unavailable
July 22 - Sculpture
July 29 - Design Star - unavailable
August 5 - Photography
August 12 - Fine Art Drawing & Painting
August 19 - Express Yourself - unavailable
August 26 - Art a la Carte- unavailable

Enter coupon

Total $0.00

I agree that photos taken of my child at camp can be used for social media purposes. No names will be used.

YesNo

Camper Behavior Policy:

The safety and enjoyment of all campers is our top priority. Therefore, if your child creates an unsafe environment for themselves or other campers, or threatens or displays violence towards staff and/or students we reserve the right to refuse their continued participation in camp. Intentional destruction of the Center or other's property will also result in your child being removed from camp. Replacement and/or repair costs are the responsibility of the parent/guardian. Bullying is not tolerated. Campers will be counseled and parents notified if it occurs. If the child does not respond to the counsel of the instructor/director they may be refused further participation in summer camp at Eclipse.

Tuition of the week that these behaviors are displayed will not be refunded. Tuition of any future weeks will be refunded. Deposits are non-refundable.

Liability Waiver:

I hereby release and hold harmless Eclipse Center for Creative Community its trustees, directors, officers, employees, agents, licensees or the propery owner VLS Inc. and their trustees, directors, officers and employees from any and all claims, causes of action, suits or liability, costs, expenses (including, without limitation, reasonable attorneys' fees) damages and liabilities arising out of, or in connection with, any loss, personal injury, death, or other damage that I or my child may incur or suffer by reason or as a result of enrollment or participation in classes, events, camps, or lessons at Eclipse Center for Creative Community. I expressly assume all risk.

Your submission of this form serves as your signed acknowledgment of and agreement to the liability waiver, terms, conditions and policies in regard to participation in Summer Art Camp at Eclipse.

Payment Methods

Debit or Credit Card

Please click one of the PayPal options to complete payment and submit the form.

Summer Camp at Eclipse

When you select the AM or PM session the list of camps available will open so you can reserve your preferred week(s).