Imagine Music and Arts - Summer Art Camp Registration Form
July 30 - August 3, 2018

9am - 12noon or 1pm - 4pm (note your preference below - we'll decide based on majority preference!)

Cost: $105, Plus $15 Supply Fee

Payment in entirety is due on the first day of class unless prior arrangements have been made with the Director.

Location: Imagine Music and Arts, 800 W Rock Creek Rd. #121, Norman

Student Last Name *
Your answer
Student First Name *
Your answer
Parent Name(s) *
Your answer
Address *
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Phone Number (most used) *
Your answer
Additional Phone Number (in case of emergency) *
Your answer
Parent Email Address *
Your answer
Student's Birthdate *
MM
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DD
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YYYY
Student School *
Your answer
Student Grade *
Time Preference: *
Please list any special needs, learning or behavior disabilities, or dietary restrictions.
Your answer
Other activities the student participates in:
Your answer
Please note any prior art experience to help us plan appropriate activities:
Your answer
Student or parent goals, wishes, hopes, dreams, desires for this camp: *
Your answer
Additional comments or questions for us:
Your answer
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