Arts for Social Change Camp Registration Form
Thanks for your interest in Artists for Social Change Camp! We're excited for a radical summer of creating art and spreading peace.

Filling out this registration form will hold a spot for your child. If you are registering multiple children for camp you will need to complete a registration form for each child.

You will receive a confirmation email with a health record and release form after completing this form.

Payment for camp may be made by cash, check, or credit card after registering for the program.

Email address *
Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
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Address *
Your answer
Parent/Guardian Name(s) *
Your answer
Phone Number(s) *
Your answer
E-mail(s) *
Your answer
Would you like to join our mailing list?
How did you hear about our program?
Your answer
Please check the boxes of the sessions you wish your child to attend Artists for Social Change camp. *
Required
Will you require morning or afternoon care for your child? *
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