Summer Artapalooza Sign Up 2023 - Travel Across the USA
Cost $200 for the first week, $190 for additional weeks

June 19 - 23: Travel to the Big Apple - PM session SOLD OUT! 
June 26 - 30: Travel to the Big Easy
July 10  - 14: Travel to Santa Fe - PM session SOLD OUT! 
July 24 - 28: Travel to California - PM session SOLD OUT! AM session has 4 spots left

Each session features a morning class 9 - noon and afternoon class from 1 - 4 pm.  

Classes meet at St. James Lutheran Church located at 5129 Wolf Road in Western Springs.  Cost includes all supplies and daily snacks - we never serve any snacks with peanuts or tree nuts, but please alert us to any food allergies.

Classes are open to students who have completed 2nd grade (rising 3rd graders)

**Please note: we have set up the form to give you an instant email copy of your response.  If you do not get one, please check to make sure you did not leave a question blank or the form will not go through.  There is a "recaptcha - I'm not a robot" entry at the bottom.   **This response will likely go to your spam folder.  If you have questions, please send us an email. gzsartapalooza@gmail.com
 
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Email *
Your Name *
Your Phone Number *
This is the primary emergency contact number we will use.  
Secondary Emergency Contact Number *
Please give us an alternative emergency contact name and number
Student Artist Name *
Student Artist Age *
This is the grade students are in for the 2022 - 2023 school year.  Summer camp is open to students who have completed 2nd grade as of June 2023.  
Which Session? *
Please select which session(s) you would like to sign up for  
Required
T-Shirt Size *
Accurate t-shirt sizes only guaranteed to those signed up before June 10th - We will make every effort to meet your needs after that, but may have to supplement with a previous years' shirt. 
Second Student Artist Name (if applicable)
Second Student Artist Age (if applicable)
This is the grade students are in for the 2022 - 2023 school year.  Summer camp is open to students who have completed 2nd grade as of June 2023
Second Student T-Shirt Size (if applicable) 
Accurate t-shirt sizes only guaranteed to those signed up before June 10th - We will make every effort to meet your needs after that, but may have to supplement with a previous years' shirt. 
Clear selection
Allergies?? *
Please list any pertinent allergies or enter NONE
Questions? Comments?
Payment *
Payments  Due by June 1st
Checks can be made out and sent to:

Carissa Zill
518 E Jefferson Street
Bensenville, IL 60106

All summer camp payments must be made two weeks prior to camp start to guarantee your spot.  

Artapalooza Liability and Hold Harmless Agreement - by signing up you agree to the below terms
Artapalooza will take all possible precautions in order to ensure the safety of all participants and staff during each session.  As a parent or legal guardian of any participant under 18 years of age, I agree to notify Artapalooza of any and all special needs, accommodations, severe reactions or allergies, or medical conditions that may impact the participant during the session week to help ensure the safety of the students.  Furthermore, I recognize and acknowledge that there are certain risks of physical injury, and I agree to assume the full risk of injuries, damages, or loss, which may be sustained as a result of participating in any and all activities of Artapalooza.  In addition, I agree to fully release and discharge Artapalooza and St. James Lutheran Church of Western Springs from any and all claims from injuries, damages, or loss, which may be sustained as a result of participating in Artapalooza.   I further agree to indemnify, hold harmless and defend Artapalooza and St. James Lutheran Church of Western Springs from any and all claims from injuries, damages, and losses sustained by me or my minor child and arising out of, connected with, or in any way associated with the activities of Artapalooza.   In the event of any emergency, I authorize the Artapalooza staff to secure from any licensed hospital, physician and/or medical personnel any treatment deemed reasonable and necessary for my child’s immediate care and agree that I will be responsible for payment of any and all medical services rendered.    I have read and fully understand and agree to the above stated conditions of participation.
A copy of your responses will be emailed to the address you provided.
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