Registration for Brushwork Alliance Art Camp
Please fill out the registration form below and you will be redirected to make the registration fee.
Artist Info
Health Info
Parent/Guardian Info
Choose Your Classes
Choose the weeks that you'd like your child to attend Elevation Arts Summer Camp
Emergency Contact Information
In case of emergencies, we need to know who to contact
Artist Info
First Name
Last Name
Age
Grade
Birthday
School
E-mail Address
Social Media Pages
Health Info: Please list the information requested below. Please separate items with commas.
Health Conditions: Please list any health issues including physical, psychiatric, behavioral or any medications.
Immunizations: Please list all immunizations that have been received.
Dietary Restrictions / Allergies: lease list any dietary restrictions, food allergies or general allergies.
Parent/Guardian Info
First Name
Last Name
Relationship to Child
Full Address
Cell Phone
Alternative Number
Name, Contact Number and Relationship for any one else authorized to drop-off/pick-up your child.
Choose Your Classes
General Rates Weekly Rate: $125