Spring_Camp

Check All That Apply
*

April 9
April 10
April 13
April 14
April 15
April 16
April 17
Select a Time
*

From 9am to 2pm
From 7:30am to 6pm
Student Name -1
*
Birth date: (MM/DD/YY)
*
Gender
*
T-Shirt Size
*
Student Name -2
Birth date: (MM/DD/YY)
Gender
T-Shirt Size
Student Name -3
Birth date: (MM/DD/YY)
Gender
T-Shirt Size
Parent/Guardian’s Name
*
Address
*
- Street Address
- Address Line 2
- City
- State / Province / Region
- Postal / Zip Code
- Country
Phone Number
*
Email Address
*
THE FOLLOWING IS REQUIRED TO BE ATTACHED TO THIS FORM (Parent to check box indicating task is complete)
*

I have read, understood, and agreed to the Liability Waiver form. The above information is true to the best of my knowledge.
EMERGENCY CONTACT NAME
*
EMERGENCY CONTACT Phone Number
*
Does the Participant take Medication

YES
NO
If YES, name the medication, dosage, times given and doctor’s name and contact number in the space provided below.
The following people are authorized to pick up your child from our facility. All identified persons MUST present a photo ID before picking up your child. Please identify all persons authorized for pick up
Date
*

STUDENT INFORMATION

EMERGENCY CONTACT

When you press the submit button, we will send you an invoice which is linked to Paypal. After signing up, you will need to stop by our studio or use the link to Paypal to pay for the whole payment within 7 days. If not, we cannot hold a spot for your child. Thank you.

EMERGENCY CONTACT

Spring Camp

Option1

$30 / a days per student (9-2pm)

Option2

$50 / a day per student (7:30-6pm)