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2019 Summer Art Camp Registration
Welcome to the registration form for Created to Create's 2019 Summer Art Camp! This form is secure and your information will not be shared with anyone else and will only be used for the sign up of your child.
Email address *
Child's name: *
(The name your child goes by and his/her last name)
Your answer
Child's gender: *
Primary parent/guardian name(s): *
Your answer
Primary parent/guardian contact email: *
Your answer
Primary parent/guardian contact phone number: *
Your answer
Emergency contact phone number *
(A second contact number is required in case of emergency)
Your answer
Emergency contact name: *
(also please identify the relationship to the child, such as father, step-mother, aunt, etc.)
Your answer
How did you hear about the camp?
Did you come across a camp flyer? Did you see a post on Facebook? Were you referred by a friend (please list who referred you)?
Your answer
I understand that half of the payment ($60) will be required soon after receiving the confirmation email to pay for camp supplies. *
(You will receive a follow up email soon with instructions on how to send payment)
Required
To insure that the camp is fun for as many participants as possible, if a child becomes a continuous disruption or detracts from the creative learning environment then the parent will be notified to pick up their child early. The child will be removed from the group until they are picked up. *
Please select one of the options below
Please let us know if your child has any allergies or specific needs.
Your answer
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