Teacher Work Day Registration Form 2026
Camper's Name
*
First Name
Last Name
Camper Birth Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Camper's Age
*
T-shirt Size (youth)
Please Select
Small
Medium
Large
X-large
Gender
*
Female
Male
Sibling's Name (only if attending camp)
First Name
Last Name
Sibling's Birthday
-
Year
-
Month
Day
4 digit year, 2 digit month, 2 digit day
Date
Sibling Age
Sibling Gender
Female
Male
Other
Parent/Guardian
Parent/Guardian Name
*
First Name
Parent/Guardian Last Name
Parent/Gardian Name
First Name
Parent/Guardian Last Name
Parent/Guardian Email
*
example@example.com
Parent/Guardian Primary Phone Number
*
Format: (000) 000-0000.
Parent/Guardian Other Phone Number
Format: (000) 000-0000.
Coming with a friend? Please put their names below.
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Medical Information
Does your camper have allergies:
*
Yes
No
Please list allergies:
Please explain on the field provided including any foods to which the camper is allergic. Is your camper allergic to latex?
Medications, both prescription and over the counter drugs can NOT be administered by ANY camp staff. This includes epi pens. You should have listed any allergies above.
*
Please Select
I have read the policy above and understand
We love to take pictures of our campers creating and having fun to share on our social media sites and other studio advertisements. Do we have permission to take pictures of your camper? Pictures are used on marketing materials, social media etc.
*
Please Select
I give permission
I don't give permission
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Contact Information in Case of Emergency
Please enter information for Emergency Contact
Name of Emergency Contact Person
*
First Name
Last Name
Emergency Contact Number
*
-
Area Code
Phone Number
Can they be a pick up for your camper ?
Yes
No
Other people who may pick up your camper.
First Name
Last Name
Alternate Pick Up Phone Number
-
Area Code
Phone Number
HOW DID YOU HEAR OF US?
*
Returning Camper
Referred by a Friend
google
Email Blast from Cheers N Paint
SUMMER CAMP WEEKS
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Teacher Work Day - Payment Options
Please click on check box(es) below for camp week options **CAMP WEEKS ARE NON REFUNDABLE**
My Products
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Full Day - Friend Pass
$170.00
$
170.00
FULL DAY HOURS: Hours 9:00 AM - 4:30 PM
Summer Camp Weeks
Quantity
September 21st - Squishmallow
1
2
3
4
5
6
7
8
9
10
October 12th - Hocus Pocus
1
2
3
4
5
6
7
8
9
10
November 3rd- Whimscial Vibes
1
2
3
4
5
6
7
8
9
10
November 11th - Falling into Art
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Half Day - AM
$65.00
$
65.00
FULL DAY HOURS: Hours 9:00 AM - 12:30 PM
Summer Camp Weeks
Quantity
September 21st - Squishmallow
1
2
3
4
5
6
7
8
9
10
October 12th - Hocus Pocus
1
2
3
4
5
6
7
8
9
10
November 3rd- Whimscial Vibes
1
2
3
4
5
6
7
8
9
10
November 11th - Falling into Art
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Half Day - PM
$65.00
$
65.00
FULL DAY HOURS: Hours 1:00 PM - 4:30 PM
Summer Camp Weeks
Quantity
September 21st - Squishmallow
1
2
3
4
5
6
7
8
9
10
October 12th - Hocus Pocus
1
2
3
4
5
6
7
8
9
10
November 3rd- Whimscial Vibes
1
2
3
4
5
6
7
8
9
10
November 11th - Falling into Art
1
2
3
4
5
6
7
8
9
10
Item subtotal:
$0.00
$
0.00
Total
$0.00
$
0.00
Credit Card
Submit
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