Registration for Multi-Arts 2019 Summer Camp
To complete registration for any of the 2019 Multi-Arts Summer workshops you must:
•Complete this online registration and submit
•Sign and return Release of Liability Agreement (via email)
•Send certification of up-to-date immunizations/most recent physical exams (via mail)
•send tuition payment and a non-refundable $45.00 registration fee/per family/per calendar year.

Payments and copies of medical records and Liability Agreement can be email to info@multi-arts.org or sent to:

Multi-Arts
PO Box 108
Hadley, MA 01035

Email address *
Select the workshop(s) you would like to register for: (You can change workshop dates without a fee or withdraw from a workshop for a full tuition refund if you withdraw before June 1, 2019) *
Required
If you want to sign up for just one week of the two-week workshop please let us know the dates
Your answer
Register for:
Child's first name *
Your answer
Child's last name *
Your answer
Child's age on June 2019 *
Your answer
Sex *
Parent/guardian name *
Your answer
Parent/guardian town *
Your answer
Parent/guardian cell phone (write N/A if no cell phone) *
Your answer
Best way to contact parent/guardian in an emergency *
Your answer
Parent/guardian email (Note: All communications will be conducted via email. Be sure you accept emails from multiarts.org@gmail.com & info@multi-arts.org) *
Your answer
Optional: I authorize the following people to pick my child up from the program:
Your answer
First aid *
Required
Does child has any life threatening allergies?
Your answer
Photograph and video release (No profit will be made from these recordings, and the names of the children will not appear next to the images) *
Required
How did you learn about this program? *
Required
Payment method *
By typing my name below, I agree that I have reviewed the following information and verify that it is correct. My name and initials below denote a virtual signature, and agreement to the terms and conditions of registration. *
Your answer
Submit and pay online- http://www.multi-arts.org/payment.html - or send check with full payment of tuition to Multi-Arts - PO Box 108 - Hadley, MA 01035.
Submit
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service