2018 Artists 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.

Child's First Name *
Your answer
Child's Last Name *
Your answer
Child's Date of Birth *
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?
Please check the boxes of the sessions you wish your child to attend Artists for Social Change camp. *
Will you require morning or afternoon care for your child? *
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