Clay & Play Registration Form

Please fill out this form to complete your registration.

Camper Information

Does the Camper have any allergies? (required)
NoYes

Does the Camper carry an Epi-Pen? (required)
NoYes

Parent/Guardian Contact Information

Parent/Guardian (Authorized pick-up and primary contact)

Do you wish to list a Secondary Contact for this Camper?
NoYes

Secondary Contact

Do you wish to register another camper?
NoYes

Does Camper Two have any allergies? (required)
NoYes

Does Camper Two carry an Epi-Pen? (required)
NoYes

Parent/Guardian Contact Information

Is the Parent / Guardian the same person for Camper Two?
YesNo

Parent/Guardian (Authorized pick-up and primary contact) for Camper Two

Do you wish to list a Secondary Contact for Camper Two?
NoYes

Secondary Contact for Camper Two

Do you wish to register another camper?
NoYes

Does Camper Three have any allergies? (required)
NoYes

Does Camper Three carry an Epi-Pen? (required)
NoYes

Parent/Guardian Contact Information

Is the Parent / Guardian the same person for Camper Three?
YesNo

Parent/Guardian (Authorized pick-up and primary contact) for Camper Three

Do you wish to list a Secondary Contact for Camper Three?
NoYes

Secondary Contact for Camper Three

Refund Policy

No refund will be given if notice of withdrawal is not received at least 10 days in advance of the start date. All refunds are subject to an administration fee of 20%. Any refund can be transferred to another class or purchase of items in the Gallery (via a gift certificate) at full value.