Summer Camp Registration at Brickton Art Center
Registration for WIP Training Center Summer Camp at Brickton Art Center
Email address *
Camper Name *
Your answer
Birthdate (Month/Date/Year) *
Your answer
School *
Your answer
Email *
Your answer
Parent Name *
Your answer
Phone Number *
Your answer
Address *
Your answer
Emergency Contact
Your answer
Emergency Contact Phone
Your answer
Any Medical Conditions we need to be aware of? (Please include Allergies) *
Your answer
Camp Weeks Registering: *
Required
T-shirt Size
Photo Waiver: I consent for The WIP Training Center to use my child's photo for promotional and social media purposes. *
I understand I am responsible for a non-refundable deposit fee totaling $50 upon registration. Full Camp tuition is Due 2 weeks prior to the start of registered camp weeks. *
Required
A copy of your responses will be emailed to the address you provided.
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