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Messy Art Registration
Maximum of 10 children
June 24th-28th
K-5 meets from 9-12
Cost: $175
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Email
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Your email
I would be interested in extending the camp day to 3:00pm for an additional $175?
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Yes
No
Maybe
Child's Full Name and Current Grade Level
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Your answer
Who is filling out this form?
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Include full name and relationship to child
Your answer
Contact Information
* phone number
* e-mail
* mailing address
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Your answer
Dietary restrictions
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None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Are there any allergies that I need to know about?
* If so, please describe the reaction
* Does your child have an Epi-pen?
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Your answer
Please list any medications that your child takes:
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Your answer
In case of emergency, 911 will be called and person filling out this form will be contacted. If possible please list an additional emergency contact. In case of a non-emergency incident you will be notified ASAP.
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Please pay the $50 deposit in order to be registered for the class. This is non-refundable, but will be returned if the class is full and there are no alternative classes that work for you.
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Venmo:
creativetutorsolutions@gmail.com
Paypal:
creativetutorsolutions@gmail.com
Zelle:
creativetutorsolutions@gmail.com
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You must make two separate payments. The $50 deposit is to hold your place in the class or on the waiting list. The remaining $125 is due at least two weeks before class starts. If I do not receive your full payment in time I reserve the right to give your place to the next person on the waiting list.
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I understand that my $50 deposit is to be paid to hold my place and is non-refundable.
I understand that I must also pay the remaining $125 at least two weeks before the first class begins.
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Your signature and date indicate that you have read and agree to everything that is in this form.
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