Camp adult registration

Summer-Adult-Registration-Form

SUMMER ADULT REGISTRATION FORM

**TWO STEP REGISTRATION - Payment required to complete the registration**

SUMMER CAMP REGISTRATION

Full Name

Address

City

Postal Code

Email address

Phone 1

Phone 2

Workshop week

Session

Workshop 2nd week (if applicable)

Session 2

Emergency Contact (if different from above)

Phone

Medical or other conditions requiring special attention *

Medical text

* ArtVenture will seek medical attention in the event of an emergency and will contact the emergency contact above. Please let us know if you have specific instructions for emergencies.

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Signature

I'm authorized to complete and submit this form

Pictures text

Occasionally we take pictures of students in class and their art for promotional literature and for our website.

If you have any concerns please talk to our staff.

#3-1438 Aldersbrook Road

London, Ontario N6G3V7

Phone: 519.471.4278

E-mail: info@artventure.ca

SUMMER CAMP REGISTRATION

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