Perkins Summer Arts Camp 2021 Registration Form
In an effort to safely and effectively ensure the highest quality instruction for all of our campers, please complete this form before your child's camp session begins. Enrollment in camp is subject to a thorough review and evaluation of the information provided. All applications are pending. There is a potential for assessment of tuition in the event that an initially enrolled student is later found ineligible.
Camper First Name, Middle Initial & Last Name *
Camper Date of Birth *
List ALL camper allergies, as well as any medical conditions or limitations (Include any helpful details) *
Session (s) Attending at Perkins Moorestown *
Session (s) Attending at Perkins Collingswood *
Age at Time of Camp
Camper's School and Location *
Grade Completed *
Parent(s)/Guardian(s) First and Last Name *
Mailing Address (street, city, state & zip code) *
Primary Phone *
Secondary Phone *
Email address *
Emergency Contact's Full Name, Relationship, and Phone *
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