2019 Summer art camp registration
Information is needed when registering for any summer art camp at Mayodan Arts Center.

*Activities in each session are thematic and include independent work as well as group setting work.

*Classes are limited to 12 participants and age requirements vary depending on week. Descriptions posted on flyer

*Camp hours are 10:00am-12:30pm, or 1:00pm-3:30pm. Healthy snacks will be provided.

*Prices are indicated next to each week.

Please type in all information below, making sure you answer each question. Please contact mayodanartscenter@gmail.com for further assistance.
your email address *
Your answer
Name of child (first and last) *
Your answer
Parent or guardian name *
Your answer
Age and grade completed *
Your answer
Which week of art camp will your child attend? *
Does your child have any allergies or medical concerns?
Your answer
Parent or guardian address
Your answer
Parent or guardian phone number (to be reached in case of emergency) *
Your answer
Partial payment due at sign up, remaining due first day of art camp *
Please submit payment directly to instructor Ashley Hickok or Kathy Anthony
Students are encouraged to wear comfortable clothing and/or appropriate for painting.
Parental Photograph release form, do you give Mayodan Arts Center permission to take or publish any photograph of your child?
I hereby release the Mayodan Arts Center, Instructor(s) and Art Camp assistants and staff, from all liability ofaccidents incurred by my child as a result of participating in the 2019 Summer Camps for kids.
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