Art Summer Camp Sign Up

Art Summer Camp Sign Up

Register now to join our creative art summer camp! Please complete the form below with your details.
Parent/Guardian Information

Please complete the following for the responsible adult.
Parent/Guardian Full Name*

First NameLast Name
Parent/Guardian Email Address*
example@example.com
Parent/Guardian Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

Emergency Contact
Emergency Contact Name*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
People authorized for pick up:*

Forms
Liability Waiver and Assumption of Risk

This release applies to every child whose name appears on this registration form. By signing below, I confirm that I am the legal parent/guardian of each listed child and that this release applies to them collectively and individually. I understand that camp activities may include physical activity, outdoor exploration, and other recreational programs. I accept full responsibility for evaluating the risks of participation and agree to release the camp and representatives from any claims arising from participation, except in cases of gross negligence or intentional misconduct.
Participants Covered by This Release: I understand that this waiver applies to all children listed on this registration form, whose names I have provided below:*
Signature*

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Photo & Media Release
Yes, I give permissionNo, I do not give permission
Walking Field Trip Permission
Yes, I give permissionNo, I do not give permission

Complete Registration
Number of sessions selected (use this number as the quantity below)
Multi session discount

Use the Coupon MULTI20 to receive 20% off if you are registering for more than one session.

Registration Total*

ImagineArts Studio Summer Camp

Total for all sessions selected

$175.00 Quantity
Item subtotal:$0.00

Enter coupon

Total

$0.00

Credit Card

ACH Bank Transfer

You can pay with debit or credit card now, or email hello@imagineartsstudio.org for information regarding paying by cash or check.

Payment must be submitted prior to camp beginning. Spots are not secured until payment is received.
Should be Empty:

Parent/Guardian Information