Hands-On Summer Arts Camp  - for Children
Hands-On Printable Registration Form  

Name of Child__________________________________

entering grade_______                         

2nd Child__________________________________

entering grade_______ 

3rd Child__________________________________

entering grade_______

Parent(s)__________________________________

Address___________________________________ 

__________________________________________ 

 Contact Phone # (home)___________________(work)_______________                                            (cell)__________________  

Choose the session(s) for the Camp
Weekly Monday-Thursday

____• June 12-15
____• June 19-22
____• June 26-29
____•Check here if you choose NOT to have your child photographed or video taped for any publications.

 Parents and Caregivers will be asked to sign a WAIVER AND RELEASE FROM LIABILITY upon dropping your child(ren) off on your 1st day of Camp.  Thank You.

Each Session: 

1) Tuition:     $120 per week ($10 off per week if registered by June 1)

 2) Family discount  1 child full price.  $20 off each additional child  

3) Sign up for 3 weeks and get 3rd week ½ off!   

4) Daily drop off rate is $35     

(date(s) wanted_________________________)  

Lab fee:   Included                                         

Total: ______________  

Make checks payable to Tessie Garcia and  mail to:  Hands-On Summer Arts Camp, P.O. Box 3316, Pagosa Springs, CO 81147 OR drop it off at the Pagosa Springs Elementary School before kids get out for the summer.     
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