Art Camp Registration form
24 King Oak terrace
Weymouth Ma 02189
617-780-7730
Registration Form
Child’s Name:__________________________________________
Child’s Age:_______
Mother’s / Father’s Name:_______________________ ______________________________
Address:________________________________________________________
Phone:______ ______ ______
Email_____________________________
Emergency Contact:________________________
Phone:______ ______ ______
Summer Art Camp 2022 Week of July 25
mon – fri 9-12pm $265
Lunch break mon – fri 12 -1 15 $10 per day ,( can be added at a later date).
Amount Due: ($265 plus $10 per day if staying for lunch) $ _________
Camp fee is nonrefundable
Please print this form and enclose payment , cash or checks made out to:
Art Barn
24 king oak terrace
Weymouth ma 02189
Any Food Allergies? Let me know
__________________________________________________________
Permission to photograph your child for advertising purposes? yes, no (circle)