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New Student Registration: Art Camp 504 Clubhouse Night (Tweens & Teens)
We are very excited to have you join us for Clubhouse Night! 

NEW STUDENTS: Please complete this form if this is your first time attending classes with Art Camp 504. You only need to complete the form ONE TIME. 

Learn more about the event at artcamp504.org/teen-night 


Reach out to community@artcamp504.org with any questions, thank you!

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Email *
Parent / Guardian Name: *
Parent / Guardian Phone Number: *
Student Name: *
Student Age: *
Which event will you be attending? *
Do you have any medical conditions or needs we should be aware of?
Do you have any dietary restrictions or allergies? Please note that Art Camp 504 is not an allergen free venue
Emergency Contact: List name, relationship, phone number. Must be different from the phone number listed under Parent / Guardian *
https://www.artcamp504.org/info “I have reviewed the Art Camp 504 info and policies page, and agree to all terms, including: student behavior expectations, refund policy, info on camp dogs, liability waiver." *
Required
PHOTO RELEASE: Art Camp 504 may photograph or record camp activities for promotional purposes including but not limited to brochures, websites, social media platforms, and advertisements. *
Required
Anything else you would like to share?
A copy of your responses will be emailed to the address you provided.
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