Camp Registration, Art Camp 4 Kids

Parent/Gaurdian Name *

First

Last

Phone *

Can we text you at this number? *

Yes
No

Email (Please check you SPAM folders for ArtCamp4Kids) *

Please list at least one Alternate Emergency Contact. Include a Name and Phone Number *

Approved Child Pickup List. Often times the parent listed above cannot pick up the child. Unless previous arrangments are made, we cannot release the child to un-authorized individuals. Please list the names of anyone you will allow to pick up your child. Arrangements can also be made during camp week. Type None if this doesn't apply. *

First Campers Name - Please enter the name he/she prefers to be called by *

First

Last

Gender *

Male
Female

Grade Level Fall 2024 *

2nd or 3rd Grade
4th, 5th or 6th Grade

Does the Camper have any allergies we should be aware of? *

No
Yes

If answered YES, please explain

Add 2nd Participant?

Yes

Second Campers Name - Please enter the name he/she prefers to be called by. (2nd Camper)

First

Last

Gender (2nd Camper)

Male
Female

Grade Level Fall 2024 (2nd Camper)

2nd or 3rd Grade
4th, 5th or 6th Grade

Does the Camper have any allergies we should be aware of? (2nd Camper)

No
Yes

If answered YES, please explain (2nd Camper)

Add 3rd Participant?

Yes

Third Campers Name - Please enter the name he/she prefers to be called by. (3rd Camper)

First

Last

Gender (3rd Camper)

Male
Female

Grade Level Fall 2024 (3rd Camper)

2nd or 3rd Grade
4th, 5th or 6th Grade

Does the Camper have any allergies we should be aware of? (3rd Camper)

No
Yes

If answered YES, please explain (3rd Camper)

Camper Information for 2024

Please fill out this additional information not available during the booking process.