Camper Name (one camper per registration form)
AGE (if under 18)
Parent / Guardian
Address
Email Address
Cell Phone #
Home Phone #
KAC ART CAMPS CAMP AGE GROUP
WEEK OF:
AM/PM (circle one)
CAMP TOPIC
CAMP FEE:
ADDITL’ FEE:
CHOOSE EXTENDED DAYS
O Art & Imagination O ARTKIDS Camp O Teen Art Camp O Teen Intensive O Family Camp
AM / PM AM / PM AM / PM AM / PM AM / PM
MTWHF MTWHF MTWHF MTWHF MTWHF
O Art & Imagination O ARTKIDS Camp O Teen Art Camp O Teen Intensive O Family Camp
AM / PM AM / PM AM / PM AM / PM AM / PM
MTWHF MTWHF MTWHF MTWHF MTWHF
O Art & Imagination O ARTKIDS Camp O Teen Art Camp O Teen Intensive O Family Camp
AM / PM AM / PM AM / PM AM / PM AM / PM
MTWHF MTWHF MTWHF MTWHF MTWHF
O Art & Imagination O ARTKIDS Camp O Teen Art Camp O Teen Intensive O Family Camp
AM / PM AM / PM AM / PM AM / PM AM / PM
MTWHF MTWHF MTWHF MTWHF MTWHF
IMPORTANT INFO
TADA PERFORMING ARTS CAMPS CAMP SESSION (check boxes)
O Magic Camp (gr. K-3) 8/18-8/22 O Magic Camp (gr. 4-8) 8/25-8/29 O T3x (grades 6-12) / Session 1 7/7-7/25 O T3x (grades 6-12) / Session 2 7/28-8/15 O T3x Jr. (grades 1-5) / Session 1 7/7-7/25 O T3x Jr. (grades 1-5) / Session 2 7/28-8/15
BROADWAY FEE:
EXT. DAY TOTAL FEE FEES: MTWHF MTWHF MTWHF MTWHF MTWHF MTWHF
TOTAL FEES:
checks payable to: Katonah Art Center & Gallery by mail: 131 Bedford Road, Katonah, NY 10536 by phone: by fax: (914) 232-4843 (914) 232-3322 website check-out: www.katonahartcenter.com Please note all registration policies and disclaimers listed online KAC OFFICE HOURS M-F: 9-5:30pm, Sat: 9 - 3
UPON PAYMENT YOU WILL RECEIVE EMAIL CONFIRMATION AND CAMP INFORMATION T-SHIRTS AND WATER BOTTLES PROVIDED FREE TO THE FIRST 50 CAMPERS REGISTERED, THEN CAN BE PURCHASED TOGETHER FOR $10!
12
PAYMENT TOTAL $_ _ _ _ _ _ Check #_ _ _ _ _ _ Date_ _/_ _/_ _ _ _ CC# ______________________________ exp. date_ _ _/_ _ _ _ sec. code:_ _ _ _ _ _
www.katonahartcenter.com