Youth Art Camp Application
Participant Information
First Name
Last Name
Date of Birth
Age
Address
City
State
ZIP Code
Participant Email
Participant Phone
Parent / Guardian Information
Parent/Guardian Name
Parent/Guardian Email
Parent/Guardian Phone
Emergency Contact
Emergency Contact Name
Emergency Contact Phone
Relationship to Participant
Medical & Allergy Information
Medical Concerns or Allergies
Art Experience
Describe any previous art experience or interests
Camp Session
Select Session
Session 1
Session 2
Session 3