Summer Camp Registration
Note: We recommend using Chrome, Edge, or Firefox to fill out this form. Safari may have issues loading the form. Please register only 1 camper per form.
Contact Name
*
First Name
Last Name
Relationship to Participant
*
Mailing Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Contact Email
*
example@example.com
Phone Number
*
Please enter a valid phone number.
Format: (000) 000-0000.
Are you a member of the Erie Art Museum?
*
Yes
No
Child's Name
First Name
Last Name
Child's Age
Child's Date of Birth
-
Year
-
Month
Day
Date
Allergies or Dietary Needs
Please list any food allergies dietary needs..
Special Needs Considerations
Behavioral Expectations
Registration Cart
prev
next
( X )
Summer Camp Registration
$285.00
$
285.00
Session
Session 1 July 6th – 10th
Session 2 July 13th – 17th
Payment Methods
Debit or Credit Card
Choose from one of the PayPal options to
make your payment.
Save
Submit
Should be Empty: