2020 Summer Art Camp Registration Are you a member?*YesNoMember NumberNot a Member? Join or Renew for reduced rates!Choose an option below and change your status to member above! Youth ($30) - One Child Only Family ($55) - Everyone in your household Registration DetailsNumber of Children RegisteringPlease enter a number from 1 to 4.Number of Children RegisteringPlease enter a number from 1 to 4.Morning or Full Days?*Morning Only: 9 am - 12 pm Full Day: 9 am - 3 pm Please note: There is no full day option for 3-5 year olds.Half Day (Member: $60/Non-member $75)Full Day (Member: $120/Non-member $150)How Many Weeks?*Please enter a number from 1 to 4.Which Weeks?* Week 1: July 7-10 Week 2: July 14-17 Week 3: July 21-24 Week 4: July 28-31 Subtotal Member Full Day Price: $0.00 Subtotal Non Member Full Day Price: $0.00 Subtotal Member Half Day Price: $0.00 Subtotal Non Member Half Day Price: $0.00 Membership - Youth Price: $30.00 Membership - Family Price: $55.00 Total $0.00 Credit Card* American ExpressDiscoverMasterCardVisa Card Number Expiration Date Month010203040506070809101112 Year20202021202220232024202520262027202820292030203120322033203420352036203720382039 Security Code Cardholder Name Child(ren) InformationChild 1 Name* First Last Child 1 Birthdate* MM DD YYYY Select Age Group*Ages 3-5Ages 6-8Ages 9-12T-shirt Size*Y SmallY MediumY LargeY XlargeChild 2 NameChild 2 Age GroupAges 3-5Ages 6-8Ages 9-12Child 2 Birthdate MM DD YYYY Child 2 T-ShirtY SmallY MediumY LargeY XlargeChild 3 NameChild 3 Age GroupAges 3-5Ages 6-8Ages 9-12Child 3 Birthdate MM DD YYYY Child 3 T-ShirtY SmallY MediumY LargeY XlargeChild 4 NameChild 4 Age GroupAges 3-5Ages 6-8Ages 9-12Child 3 Birthdate MM DD YYYY Child 4 T-ShirtY SmallY MediumY LargeY XlargeParent InformationParent 1 Name* First Last Parent 1 Cell Phone*Parent 1 Work PhoneParent 2 Name First Last Parent 2 Cell PhoneParent 2 Work PhoneAddress Street Address Address Line 2 City State AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific ZIP Code Email* Allergies and Special NeedsIs there anything we need to know about your child(ren)?Emergency ContactsPlease list the names and phone numbers of up to three people, besides the parents listed above, who we could contact in an emergency.Authorized Pick UpList anyone, besides the parents listed above, who your child(ren) can be released to.Photo Release*I give my permission for Arts + Education at the Hoyt and the Hoyt Center for the Arts to use images and videos of my child for use on their organization’s website, social media pages, and other marketing materials for children’s programs at Arts + Education at the Hoyt. Yes, I give permission for my child(ren) to be photographed. No, I do NOT give permission for my child(ren) to be photographed. How did you hear about us?Check all the apply. Returning Camper Mailed Postcard Email Facebook Newspaper Flyer at School From a friend Other CAPTCHA
