Clay & Crafts Registration Form

Please fill out this form to complete your registration.

Camper Information

Camper Name (first, last) (required)

Camper Age (required)

Does the Camper have any allergies? (required)
NoYes

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

If Yes, please describe reaction and treatment.

In order to meet the individual needs of your child, please list any special needs or behavioural considerations.

Parent/Guardian Contact Information

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

Name of Primary Contact (required)

Primary Contact's Email (required)

Primary Contact's Daytime Phone # (required)

Primary Contact's Evening Phone # (required)

Primary Contact's Cell #

Primary Contact's Full Mailing Address (required)

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

Secondary Contact

Contact name

Secondary contact daytime phone number

Secondary contact cell number

Do you wish to register another camper?
NoYes

Camper Two's Name (first, last) (required)

Camper Two's Age (required)

Does Camper Two have any allergies? (required)
NoYes

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

If Yes, please describe reaction and treatment.

In order to meet the individual needs of your child, please list any special needs or behavioural considerations.

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

Name of Primary Contact for Camper Two (required)

Email of Primary Contact for Camper Two (required)

Daytime Phone # of Primary Contact for Camper Two (required)

Evening Phone # of Primary Contact for Camper Two (required)

Cell # of Primary Contact for Camper Two

Full Mailing Address of Primary Contact for Camper Two (required)

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

Secondary Contact for Camper Two

Secondary Contact Name for Camper Two

Secondary Contact Daytime Phone Number for Camper Two

Secondary Contact Cell # for Camper Two

Do you wish to register another camper?
NoYes

Camper Three's Name (first, last) (required)

Camper Three's Age (required)

Does Camper Three have any allergies? (required)
NoYes

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

If Yes, please describe reaction and treatment.

In order to meet the individual needs of your child, please list any special needs or behavioural considerations.

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

Name of Primary Contact for Camper Three (required)

Email of Primary Contact for Camper Three (required)

Daytime Phone # of Primary Contact for Camper Three (required)

Evening Phone # of Primary Contact for Camper Three (required)

Cell # of Primary Contact for Camper Three

Full Mailing Address of Primary Contact for Camper Three (required)

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

Secondary Contact for Camper Three

Secondary Contact Name for Camper Three

Secondary Contact Daytime Phone Number for Camper Three

Secondary Contact Cell Number 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.