2019 Carpe Diem Summer Arts Camp Registration
Select camp week(s) you wish to enroll your child *
First Name *
Your answer
Last Name *
Your answer
Birth date (month, day, year -- ex: 7/24/2004) *
Your answer
Entering what grade in the fall? *
Your answer
Name of school (next school year) *
Your answer
Camper phone number (if applicable)
Your answer
Mother or guardian name and phone number *
Your answer
Father or guardian's name and phone number
Your answer
Camper email address (if applicable)
Your answer
Mother or guardian email address *
Your answer
Father or guardian email address
Your answer
Emergency contact name and cell phone number *
Your answer
Special interests and skills *
Your answer
How did you hear about our camp? *
Your answer
Will you need before or after care? *
Day camps run 9:30am-3:30pm. Before & after care are available 8:30-9:30am and 3:30-5pm. In some cases, other special arrangements can be made.
If yes -- please indicate what hours are needed (day camps run 9:30am-3:30pm)
Your answer
Camper mailing address (include full street address and zip code) *
Your answer
I will be paying via:
Discount (if applicable)
***Please download and fill out the medical form and sign the waiver - Available at www.CarpeDiemArtsSummerCamps.org
Your answer
Does camper have a ukulele she/he can bring to camp?
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