Printable Registration Form
Phone # (home)___________________(work)_______________
the session(s) for the Camp
____• 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.
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
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.