IN-PERSON SUMMER CAMP REGISTRATION FORM

OUR AWARD WINNING IN-PERSON CAMPS WILL RETURN FOR THE SUMMER OF 2022!

Registration for the 2022 Summer Camp Season Opens September 1st

First Name

Last Name

Street

City

State

Zip Code

First Name

Last Name

First Name

Last Name

EMERGENCY CONTACT INFORMATION

*Emergency Contact is an adult for emergency use only – when a parent/guardian cannot be reached. Do not list parent/guardian here.

Full Name

Full Name

CHILD PICK-UP AUTHORIZATIONS

If other than Parent, complete and return the following form via email: performingartsla@aol.com.

Click Here For: Pickup Authorization Note
 
 

If YES, complete and return the following form via email: performingartsla@aol.com.

Click Here For: Walk/Bike Authorization Note

BUILD YOUR SUMMER SCHEDULE

TWO WEEK CAMP SELECTIONS:
Musical Theater Camp ~ Guitar Camp
SESSION 1: July 12 - July 23
SESSION 2: July 26 - August 6
ONE WEEK CAMP SELECTIONS:
Photography Camp ~ Camp LOL ~ Debate Camp ~ Karate Camp
WEEK 1: July 12 - July 16
WEEK 2: July 19 - July 23
WEEK 3: July 26 - July 30
WEEK 4: August 2 - August 6
CHOOSE YOUR CAMP DISCOUNT
BILLING INFORMATION
Payment Method (Please Select One):

To Authorize, Initial Here

Street

City

State

Zip Code

Type Of Card (VISA, MC, AMEX, etc.)

16-Digit Card Number

Expiration Date (mm/yy)

CV2# (Security Code)

CAMP POLICIES

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

To Agree, Initial Here

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