Passaic Valley Education Foundation Middle School Summer Performing Arts Camp 2023
Camp will meet Mondays through Thursdays, 8:30am to 1pm from July 5th to July 28th (The first week of camp we will meet Wednesday July 5th, Thursday July 6th, and Friday July 7th).
Students will choose 5 classes that they would like to participate in and a 6th class just in case any of the classes fill up or if that class does not run.  Please note that some classes even though offered, may not run if there are not enough students signed up.  During camp, students will rotate from class to class each day.  They will also have a designated snack time where students are able to bring their own snack to eat.  For any questions please email Mr. DeLuccia - delucciam@pvrhs.org
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Student Name (Last, First) *
Grade (2023 - 2024 School year) *
Street Address *
Town *
Home Phone *
Mother/Guardian Name *
Mother/Guardian Cell Phone Number *
Father/Guardian Name *
Father/Guardian Cell phone number *
Parent's Email *
Additional Emergency Contact Number *
Please list Name of Emergency contact
Additional Emergency Contact Number *
Please list Name of Emergency contact
Please list any allergies
Please include Foods, Medications, and Materials
Please list any other health issues your student may have:
Please list any Special Needs your student may have:
Our program may not be able to meet all educational special needs, so please list any below so we can make that determination.  These will be kept COMPLETELY CONFIDENTIAL.  These needs will only be discussed with the director and staff.
Please list any requests your student may have below:
Examples of requests would be:  Can Student A be in the same class as student B?  Can my student take 2 of Class [Blank]?  Can my student have Class [Blank] earlier/later in the day? Etc.  PLEASE NOTE:  I will do my best to meet requests but I can't promise that all requests can be made.
Please chooses 5 classes you wish to participate in *
Required
Mixed Media
Paint, Paper and the Kitchen Sink!  Using fabric, paper, found objects and various paint materials, we will create amazing 2 and 3 dimensional artwork in this mixed media class.  Techniques include collage, printmaking, drawing, painting, cutting, pasting and found objects.
Please choose one 6th Backup class in case other classes are full or if a class does not run *
Required
By checking yes you allow us to use your son/daughters image on our website. *
Required
Payments
2023 Camp prices:
Tri-Town Resident (Little Falls, Totowa, Woodland Park) - $375
Non-Resident - $475


Once this form is submitted, please mail the payment to the following address:

Passaic Valley High School  
CO Mike DeLuccia
100 East Main St
Little Falls, NJ 07424

Checks Payable to: Passaic Valley Education Foundation
Venmo:  @PVEF1940  (it will come up as Randall Sanders, he is our treasurer)


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