Summer Art Camp Registration Form
Camper Information
First Name
Last Name
Age
Date of Birth
Address
City
State
ZIP Code
Parent/Guardian Information
Name
Relationship
Phone
Email
Emergency Contact (other than parent/guardian)
Name
Phone
Relationship
Camp Selection
Select Session
Session 1
Session 2
Session 3
T-Shirt Size
Youth S
Youth M
Youth L
Adult S
Adult M
Adult L
Medical & Allergies
List allergies or special conditions
Will the camper need to take medication during camp hours?
Yes
No
Additional Notes
Anything else we should know?