Summer Camp Registration Form Student * First Name Last Name Student's Age * Student's School Grade Parent/Guardian * First Name Last Name Parent's/Guardian's Email * Parent's/Guardian's Phone * (###) ### #### Address Address 1 Address 2 City State/Province Zip/Postal Code Country Type in the Art interests (Drawing, Sculpture, Painting, Pastels, Watercolors, Anime, etc.) Choose your Weeks (Multiple Week Discounts) Wk1 Jun 23 - Jun 27 Wk2 Jul 7 - Jul 11 Wk3 Jul 14 - Jul 18 Wk4 Jul 21 - Jul 25 Wk5 Jul 28 - Aug 1 Wk6 Aug 4 - Aug 8 Wk7 Aug 11 - Aug 15 Wk8 Aug 18 - Aug 22 Choose Your Session Session 1 (9am - 12pm) Session 2 (12pm - 3pm) Full Day (9am - 3pm) Any Allergies? Or Special Medical Instructions? Please list any allergies or special instructions we should be alerted to for your child here: Thanks for submitting your Summer Camp Registration Form. You may contact us at 609 865 1012 for payment of your $200 Deposit by Cash, Venmo, Zelle, Apple Pay, or Check made out to Karakorum LLC - all of these payment methods avoid processing fees. OR - Please CLICK HERE to pay by Credit Card (a processing fee will apply to all credit card payments) and reserve your camp spot. Thank you!
