Summer Camp Registration

Please complete and submit the from below to register for our Summer Camp. After your registration is received you will be sent a payment link. You may register up to 3 students in your family on this form.

Student 1

First Name

Last Name

Grade Level

Medical Information/Allergies

Please list any medical conditions or allergies

Student 2

First Name

Last Name

Grade Level

Medical Information/Allergies

Please list any medical conditions or allergies

Student 3

First Name

Last Name

Grade Level

Medical Information/Allergies

Please list any medical conditions or allergies

Parent/Guardian Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

####

Parent/Guardian 2

First Name

Last Name

Parent/Guardian 2 Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Who should we expect to pick up your student(s)?

Please notify the Studio if there will be a different/unexpected person picking up your student(s).

Persons NOT permitted to pick up your student(s)

Please list anyone to whom we should NOT release your student(s)