2026 Art With Heart Camp Registration

Child's Name

Child's Age

Child's Date of Birth

Child's Favorite Color

Last School Grade Completed

What is your Child's T-Shirt Size?

Legal Guardian

This address will receive a confirmation email

Home Phone

Cell Phone

Address

Payment $10.00

Parents’ Permission to use photos of their child for publicity via our website and social media?

Yes No

Does your child have any food allergies or special needs?

Emergency Contact

Emergency Contact Number

Relationship to Child

Credit/Debit Card Number

Expiration Date/CVC

Name on Card Card Billing Address

Description

Art. With. Heart. Camp is for children ages 7-12, and comes with a $10 registration fee. The camp will take place from 5:30 PM to 8:30 PM from Sunday, August 16th until Friday, August 21st.

2026 Art With Heart Camp Registration

Description

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