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2022 ARTS Summer Camp Registration
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* Indicates required question
Email
*
Your email
Student First Name
*
Your answer
Student Last Name
*
Your answer
Student Age
*
Your answer
Student Date of Birth
*
MM
/
DD
/
YYYY
Gender
*
Female
Male
Siblings Attending Camp
Your answer
Present School Attending
*
Your answer
Grade entering in for 2022-2023 School Year
*
Kindergarten
First Grade
Second Grade
Third Grade
Fourth Grade
Fifth Grade
Parent/Guardian Name
*
Your answer
Address
*
Your answer
City/State/Zip
*
Your answer
Home Phone
*
Your answer
Cell Phone
*
Your answer
Email Address
*
Your answer
Emergency Contact (other than parent/guardian)
*
Your answer
Relationship to Student
*
Your answer
Home Phone
Your answer
Cell Phone
*
Your answer
Allergies or intolerance to food, medication, etc.
Your answer
Chronic physical information
Your answer
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