2019 - Storytime Explorers Registration Form
Thank you for interest in this Creative Arts Camp for ages 4-8. Program meets 9:30am - noon, August 26 - 30, 2019. Students must attend all days including the final day for the performance. Families are invited to watch the performance at 11am on Friday August 30.
Email address *
Participant Last Name *
Your answer
Participant First Name *
Your answer
Participant Address *
Your answer
Participant City *
Your answer
Participant Zip Code *
Your answer
Parent Guardian Name (First, Last) *
Your answer
Parent/ Guardian Address
If different from student
Your answer
Parent/ Guardian E-Mail *
Your answer
Cell / Primary Phone Number *
xxx-xxx-xxx
Your answer
Emergency Contact Name (First, Last) *
Your answer
Emergency Contact Primary Phone Number *
xxx-xxx-xxx
Your answer
Student's Academic School & Grade (if applicable) *
Your answer
Student Age *
How old will the participant be this August?
Your answer
Does your child have any allergies, medical conditions or either physical or behavioral challenges ? *
Please list anything you feel our teachers should be aware of, or simple type "none".
Your answer
How did you hear about this program? *
Past participant, friend recommendation, newspaper, our website, online camp listing, flyer etc.
Your answer
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