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 11 – June 13 #2: June 18 – June 22 #3: June 25 – June 29 #4: July 9 – July 13 #5: July 16 – July 20 #6: July 23 - July 27 #7: July 30 - Aug 3 #8: Aug 6 – Aug 10 #9: Aug 13 – Aug 17 Group B : 6-12 yrs. old - Mon/Wed/Fri, 10am-2pm #1: June 11 – June 13 #2: June 18 - June 22 #3: June 25 - June 29 #4: July 9 - July 13 #5: July 16 - July 20 #6: July 23 - July 27 #7: July 30 - Aug 3 #8: Aug 6 - Aug 10 #9: Aug 13 – Aug 17 Group C : 5-10 yrs. old - Tue/Thu, 10am-2pm #1: June 11 – June 13 #2: June 18 - June 22 #3: June 25 - June 29 #4: July 9 – July 13 #5: July 16 – July 20 #6: July 23 - July 27 #7: July 30 - Aug 3 #8: Aug 6 – Aug 10 #9: Aug 13 – Aug 17 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 PayPalEmailThis field is for validation purposes and should be left unchanged. This iframe contains the logic required to handle Ajax powered Gravity Forms.