Student's Name *

First Name

Last Name

Date of Birth *

MM

DD

YYYY

Parent's Name *

Parent 1

First Name

Last Name

Phone *

(###)

###

####

What Camp? *

Art Camp (ages 7-12)

Creative Camp (ages 4-12)

For Art Camp *

Please pick one

Not applicable (for Creative Camp)

Animation (ages 7-12)

Architecture (ages 7-12)

Sculpture (ages 7-12)

Cartooning (ages 7-12)

Fashion Design (ages 7-12)

Painting (ages 7-12)

Media Arts (ages 9-12)

Do you need extended hours?

Before Care (8am-9am)

After Care (3:30pm-5pm)

Late After Care (3:30-6pm)

*

By checking this box you are agreeing to adhere to the CCSA's policies as outlined below.

I Agree