Summer Arts Camp 2018 Camper Registration
Register below for Summer Arts Camp at Center for the Arts Eagle Rock. Please note your registration will not be complete until payment has been received.

PAYPAL: You will receive a link at the end of this form.
CREDIT CARD: Call or come in person to process payment.
CHECK: Please make checks payable to Center for the Arts Eagle Rock. You can mail it in or drop off in person.

Once the 45 camper capacity has been met we will close registration.

Email address *
Camper name *
Your answer
Camper age *
Your answer
Camper date of birth *
MM
/
DD
/
YYYY
Parents/ Guardians name *
Your answer
Phone number *
Your answer
Address (Street, City, Zip) *
Your answer
Alternate Email
Your answer
Next
Never submit passwords through Google Forms.
This form was created inside of Center for the Arts, Eagle Rock. Report Abuse - Terms of Service - Additional Terms