Summer Arts Academy 2019 Registration
Welcome to the 2019 Summer Arts Academy Registration form!

Please submit only one student per registration. Summer Arts Academy is for students age 6 - 13.

Please enter your information below:

Student Information
First name *
Your answer
Last name *
Your answer
Date of birth *
MM
/
DD
/
YYYY
Gender
Parent/Guardian Information
Parent/Guardian Name
If there is more than one name, please separate responses with a comma.
Your answer
Street Address
Your answer
Apartment/Unit No.
Your answer
City, State
For example: "Phoenix, AZ"
Your answer
Zip Code
Your answer
Email address *
Important! This is our primary avenue of communication, so please watch for our emails.
Your answer
Guardian Home Phone Number
Please include the area code. Use only numbers (no parentheses, spaces or hyphens)
Your answer
Guardian Cell Phone Number
Please include the area code. Use only numbers (no parentheses, spaces or hyphens)
Your answer
Emergency Contact Information
The emergency contact is used as a backup in the event the primary guardian is unable to be reached.
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Please include the area code. Use only numbers (no parentheses, spaces or hyphens)
Your answer
Class Registration
To begin, please select your session. Class selection will be available on the next pages.

Session 1: May 29, 2019 – June 12, 2019
Session 2: June 13, 2019 – June 28, 2019

Classes are held Monday - Friday

Are you registering for Session 1? *
If you're signing up for the first session or for both, select 'Yes'. If you're only registering for Session 2, select 'No'.
Notes
If you would like the staff to know anything specific --food allergies, planned absences, additional contact information, etc.-- please include it here.
Your answer
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