2018 Art Camp & Summer School Registration Form - 4th-6th Grade
RICHMOND HEIGHTS RESIDENTS ONLY!!!

RICHMOND HEIGHTS STUDENTS MUST ATTEND SUMMER SCHOOL IN ORDER TO PARTICIPATE IN CAMPS!

Art Camp & Summer School is for Richmond Heights residents in the 4th-6th grade.

Free transportation to summer school and home from camp.

$20.00 for Richmond Hts Local School District students.
$30.00 for non-Richmond Hts Local School District students.

LIMITED TO 30 STUDENTS

Email address *
June 4 - June 29, 2018 (4 weeks)
Summer School 9:00am-Noon, Lunch, Camp 1:00pm - 3:00pm
Student's First Name *
Your answer
Student's Last Name *
Your answer
Parent's First Name *
Your answer
Parent's Last Name *
Your answer
Other Parent's First Name
Your answer
Other Parent's Last Name
Your answer
Address *
Your answer
City *
Your answer
Zip *
Your answer
Phone Number - Home
Your answer
Phone Number - Cell *
Your answer
Phone Number - Other
Your answer
Please list additional contact information
Your answer
Please list any allegies or medical issues
Your answer
Date of Birth *
MM
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DD
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YYYY
Current Grade *
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