Arts Camp Boot Camp 2025 Registration

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Camper Information

Camper Name*

First Last

Grade Entering in the Fall of 2025*

What School Will the Camper Attend in the Fall?*

T-shirt Size*

Please list any allergies or medical information:

Is there a friend your camper may wish to be in a small group with?

First Last

(Friend must be in the same grade as camper.)

Parent Information

Parent Name*

First Last

Parent Phone*

Parent Email Address*

Parent Address*

Street Address Address Line 2 City State ZIP Code

Emergency Contact Information

Emergency Contact Name*

First Last

We will contact the parent listed above first. This should be someone different than the parent contact information.

Emergency Contact Phone*

Alternate Emergency Contact Phone

Registration for Camper

Price:

Payment Method:

Credit Card

Scholarship awarded (code required)

Coupon*

Total

Billing Name

First Last

Billing Address

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Payment Method

American Express

Discover

MasterCard

Visa

Card Number Expiration Date Security Code Cardholder Name

Comments

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Arts Camp Boot Camp 2025 Registration

Camper Information

Parent Information

Emergency Contact Information

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