Santa Monica Art Camp
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YOUR CART
Electronic Registration Form
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Indicates required field
Student's Name
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First
Last
Student's Age if Minor
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Parent's Name if Minor
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First
Last
Cell Number
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Home Number
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Emergency Contact Name
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First
Last
Emergency Contact Number
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Emergency Contact Name
Address
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Line 1
Line 2
City
State
Zip Code
Country
Email
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Allergies:
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Session(s)
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Summer Session 1 6/15/20-6/19/20
Summer Session 2 6/22/20-6/26/20
Summer Sessions 1&2 6/15/20-6/26/20
Transportation for minors
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Permission to walk home
Parental pick up
Designated adult pick up
Designated adult for pick up + drivers license number
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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
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Yes, I agree
No, I do not agree
Comments
*
I agree to receiving marketing and promotional materials
Register & Pay