art rocks camp registration form

Deposit/Material Fee is due with registration: $25.00 per class.

Student Name (required)

Student Age (required)

Student Birthdate (required)

Student Name

Student Age

Student Birthdate

Student Name

Student Age

Student Birthdate

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Parent or Guardian Name (required)

Parent Email (required)

Parent Cell Phone Number(required)

Parent Home Phone Number

Parent Work Phone Number

Parent Address(required)

School Your Child(s) Attends(required)

How will your child be transported to SD Studios?(required)

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Emergency Contact:(required)

Emergency Contact Cell:(required)

Emergency Contact Home:

Emergency Contact Work:

Does your child have any allergies or medical issues

Anything else we should know about, i.e. fears, dislikes, interests, special needs etc?

Please let us know how you found out about SD Studios Art Rocks

Signature (required)

I agree to the release of photos for web site/fliers
I agreeI do not agree

Please fill out what individual days or weeks you would like your child(s) to attend:

For an overview of available dates and weeks, click here.

Note: When you hit send, you will be directed to PayPal.