Pure Imagination Registration 2023
We are thrilled that you'd like to join us for camp June 19-23 at Life Church West Chester this year! Please fill out the form below and submit to register.
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Child's First Name *
Child's Last Name *
Grade in Fall 2023 *
Age as of June 1, 2023 *
Parent First and Last Name *
Parent Email *
Parent Cell Number *
Additional Contact: name and cell number
Home Address
Photo / Video waiver:

I understand that Inspiring Arts may take or begiven photos and/or video of participants during camp. I agree that participation in Inspiring Arts events inherently grants permission for my or my child's image or voice to be used in educational or promotional materials in print, multimedia, or web form. Photo/videos will only be used for purposes related to Inspiring Arts and their related partners, and children in images or video will not be identified by name.

I also understand that a condition of my child's camp participation is agreement with the Inspiring Arts' photo/video release as explained above.
 *
Please list any allergies or special needs
How did you hear about Summer Spotlight camp? *
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