This Form cannot be submitted until the missing
fields (labelled below in red) have been filled in
2013 Elementary Art Camp Registration Form
Please note that all fields followed by an asterisk must be filled in.
Parent/Guardian First Name*
Parent/Guardian Last Name*
Please list ADA Accommodations needed
Please check any/all weeks you wish to participate:*
June 10th-June 13th
June 17th-June 20th
June 24th-June 27th
July 8th-July 11th
Transportation To and From Camp*
Parent Drop off/Pick up
Before & After Care (8:00am-4:30pm)
Yes, for an additional $100/week per student.
Total Registration Fees *
Payment in full by June 1st Payment Type
Statement of Understanding*
By checking this box I accept and understand that this is a 4 day camp (Mon-Thurs only) from 9:00am-3:00pm. Any portion of the camp that my child can not attend shall be forfeited without refund or credit. I also understand that I am responsible for picking up my child from camp on time unless they are a walker. If I am more than 10 minutes late, I accept and understand that fees will be applied.
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