Eye Matter Multi-sensory Summer Art Camp Registration
Please read this informational sheet before registering for the camp: https://docs.google.com/document/d/11ZxdM6-Z8qz2nBg-lBL9XgCBRqGP3_YfkgDpOx8XzHk/edit?usp=sharing

Please completely fill out the form below in order to register for the Eye Matter summer camp! Spots are limited, and will be distributed on a first come first serve basis! All materials for the camp will be shipped to your address, so please ensure that your address information is correct when registering below!
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Child's First Name *
Preferred First Name
Child's Last Name *
Child's Age *
Parent's First Name *
Parent's Last Name *
Email (please input an email that you check REGULARLY.) *
Secondary Email *
Phone Number *
Secondary Phone Number *
Street Address (All materials will be mailed to you.) *
City *
State *
Zip Code *
Anything you would like our instructors to be aware of in regards to your child's vision?
Would you be willing to donate to Eye Matter? (The Camp is COMPLETELY FREE, but if you would like to help us cover the material fee, there is a VOLUNTARY $35.00 participation fee per student! This would really help us conduct future camps as such, however it is completely optional! Note that you can donate any amount you are comfortable with!) *
If your answer to the question above is yes, please enter the following link in a separate tab to donate: https://givebutter.com/eye-matter
Have you participated in an Eye Matter class before? *
Any questions or suggestions?
Photo/Video Consent: I hereby grant Eye Matter the right and permission to use photographs and/or video recordings of my child on websites and in publications, promotional flyers, educational materials, derivative works, or for any other similar purpose without compensation to me. *
Required
I understand that if I cancel my registration, I am required to pay the cancellation fee of $50 to Eye Matter International. Cancellation is defined as failure to attend 50% or more of the camp sessions. (Note: this is to compensate for the box of materials sent to you specifically for this summer camp!) *
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