2018 Multi Arts / Latin Music Registration
Please read the policies and refunds section on the website.

Complete the registration fields below. Placement is not guaranteed until payment is received.

Make checks payable to:
USFD of the Tarrytowns
Write campers name on check.

Mail to:
Anna Povich de Mayor, 300 S.Broadway #1A, Tarrytown, NY 10591 Attn: Multi Arts Camp

Registration Information
Last name *
Your answer
First name *
Your answer
Age *
Your answer
Date of Birth *
MM
/
DD
/
YYYY
Grade (next year) *
Address *
Your answer
Town *
Your answer
Zip code *
Your answer
Parent or Guardian *
Your answer
Home phone number (use dashes) *
Your answer
Cell phone number (use dashes) *
Your answer
Email *
Your answer
Emergency Contact (name) *
Your answer
Emergency Contact (phone # use dashes) *
Your answer
My child is allergic to
Your answer
Special Conditions - What should we know about your child
Your answer
Photo Release
I grant Summer Arts Camp permission to photograph my child and use such photos in printed and electronic materials related to camp, including the website & social media.
Please mark one: *
Check program/s below. Payment must be received within 1 week of online registration to guarantee placement.
Mornings only - Multi Arts Camp 9-noon, campers bring snack
Full day - Multi Arts & Latin Music Afternoons (grades 2-4 only 9am - 2 pm, campers bring snack and lunch
I am interested in a possible Latin Music section for my first grade child if one becomes available
MORNINGS ONLY: Residents $180/ week or $500 all 3 weeks. Others:$200 /week or $550 all 3 weeks.
FULL DAY: Residents $300/ week or $850 all 3 weeks. Others:$320 /week or $900 all 3 weeks.
Sibling discount: One time $30 off total
Please consider donating to our SCHOLARSHIP FUND. Any amount helps to ensure that we can provide quality arts education to ALL our children in the district, regardless of income.
Please write a separate check and label it Scholarship Fund in the Notes section.
Total Amount Due
Your answer
Please contact me about receiving financial assistance
Make checks payable to:USFD of the Tarrytowns. Write campers name on check.
Mail to:
Anna Povich de Mayor, 300 S.Broadway #1A, Tarrytown, NY 10591 Attn: Multi Arts Camp
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