WAIT LIST REGISTRATION FORM FOR SUMMER CAMP

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** FULL ** REGISTRATION CLOSED - JUNE CAMP:
Patterns & Structures in Our Environment: Painting, Mixed Media, Wire Working & More; Minerals, Crystals, Symmetry & Ratios | JUNE 13-17 | 1:30pm - 5:00pm | Maximum of 10 campers

** FULL ** TAKING WAIT LIST ** JULY CAMP:
Visualizing Physics: Perspective, Optical Illusions, Sculpture, and Painting; Motion, Energy, Force & Simple Machines | JULY 11-15 | 1:30pm - 5:00pm | Maximum of 10 campers

AGES: 7-12

-- MASKS REQUIRED INDOORS -- regardless of vaccination status; some activities will be completed outside and frequent mask breaks will be scheduled.

FEE: $220 for first registrant -- $180 for each additional registrant (siblings)
>> REGISTER BEFORE MARCH 1ST FOR THE $200 EARLY BIRD FEE!
>> SCHOLARSHIPS AVAILABLE for SNAP/Free & reduced lunch families, please email gabrielle@ellecreative.online for qualification and rate information.

LOCATION: FIREHOUSE ART CENTER - Studio 64, 667 4th Ave, Longmont, CO 80501

-- To allow for flexibility of potential absences, Covid quarantining, or other reasons, refunds can be given if notice of absence is given before the class/day starts. No show and no communication = no refund once camp starts.

More camp details here: https://sites.google.com/ellecreative.online/va-stem-firehouse/session-details

CHILD NAME #1 - (First then Last) *

CHILD NAME #2 (First then Last)

CHILD NAME #3 (First then Last)

Select Camp *

** FULL ** WAITING LIST** ART+STEM - Visualizing Physics | JULY 11-15 | 1:30pm - 5:00pm

Required

** If registering more than one child, please indicate WHICH session each child is attending. (example: Bridget, June and July , Brian June)

Parent/Guardian Name, First Last *

Parent/Guardian Email *

Parent/Guardian Phone Number *

Emergency Name and Phone Number #1 *

Emergency Name and Phone Number #2 *

Dietary, medical, or allergy notifications

I understand that I will have to pay via VENMO or PAYPAL before attending the first day and to secure my spot in the camp. Note: Paypal will allow credit card payments without a Paypal account. *

Yes, I will pay VENMO to Gabi-F-Scott (0671) and will get confirmation of payment via email.

Yes, I will pay with PAYPAL to https://www.paypal.com/paypalme/gabifscott and get confirmation of payment via email.

Required

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