Registration

Santa Monica Art Camp

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Electronic Registration Form

* Indicates required field

Student's Name *

First

Last

Student's Age *

Parent's Name *

First

Last

Cell Number *

Home Number *

Emergency Contact Name *

First

Last

Emergency Contact Number *

Emergency Contact Name

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

My Child Is Allergic To: *

Camp Session *

Week 1 June 17-24 Week 2 June 24-28 Both Weeks June 17-28

Transportation *

Permission to walk home Parental pick up Designated adult pick up

Designated adult for pick up + drivers license number *

T-shirt Size (Youth) *

XS S M L XL

I give permission for any quotes, images or likenesses of me or my child and/or our artwork to be used for Santa Monica Art Camp publicity purposes including but not limited to brochures, websites, and videos *

Yes, I agree No, I do not agree

Comments *

I agree to receiving marketing and promotional materials

Register & Pay

Home
About
- Gallery
- Location
- Staff
Registration