Summer Art Camp Registration Your child can enroll for the whole week by choosing both Group B and C. Feel free to enroll in more then one art camp session. Each Session and Group of camp is unique and there is no repetition of art project curriculum. Fields marked with an * are required Summer Art Camp InformationGroup A : 6-12 yrs. old - Mon/Wed, 10am-2pm #1: June 12 – June 16 #2: June 19 – June 23 #3: June 26 – June 30 #4: July 10 – July 14 #5: July 17 – July 21 #6: July 24 - July 28 #7: July 31 - Aug 4 #8: Aug 7 – Aug 11 #9: Aug 14 – Aug 18 #10: Aug 21 - Aug 25 Group B : 6-12 yrs. old - Mon/Wed/Fri, 10am-2pm #1: June 12 – June 16 #2: June 19 - June 23 #3: June 26 - June 30 #4: July 10 - July 14 #5: July 17 - July 21 #6: July 24 - July 28 #7: July 31 - Aug 4 #8: Aug 7 - Aug 11 #9: Aug 14 – Aug 18 #10: Aug 21 - Aug 25 Group C : 5-10 yrs. old - Tue/Thu, 10am-2pm #1: June 12 – June 16 #2: June 19 - June 23 #3: June 26 - June 30 #4: July 10 – July 14 #5: July 17 – July 21 #6: July 24 - July 28 #7: July 31 - Aug 4 #8: Aug 7 – Aug 11 #9: Aug 14 – Aug 18 #10: Aug 21 - Aug 25 Student's InformationStudent's Name* First Last Student's Birthdate AgeParent's Name #1* First Last Parent's Name #2 First Last Home Address* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Contact InformationHome Phone*Email* Cell Phone #1*Cell Phone #2Emergency Contact (other than parent)*Emergency Contact Phone*General InformationChild's PhysicianPhysician's PhoneChild's SchoolSchool Grade LevelAllergies or Food RestrictionsPlease share any pertinent information about your childEmergency Treatment*In the event of an emergency and if I or my emergency contacts cannot be reached, I give The Children's Art Studio permission to authorize any treatment deemed necessary by the attending physician. I Agree Payment Method*CheckPayPal Account or Credit Card via PayPalPhoneThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.