Please enable JavaScript in your browser to complete this form. aware Parent/Guardian give Name of Class / Camp *select oneWinter Session / After-School Class: Creative Explorations in Mixed Media Art (Tues)Winter Session / After-School Class: Threads & Textures: Fiber Arts, Painting & Sewing for Teens (Wed)Vacation Week Camp: FebruaryVacation Week Camp: AprilSummer Camp: Session 1Summer Camp: Session 2 (*4-day)Summer Camp: Session 3Summer Camp: Session 4Summer Camp: Session 5Summer Camp: Session 6Summer Camp: Session 7Summer Camp: Session 8Summer Camp: Session 9Summer Camp: Session 10Select the class/camp from dropdown menu aboveStudent Name *FirstLastAge of Student *Parent/Guardian Name *FirstLastParent/Guardian Email *Street Address *Street Address 2City *State/Province *Zip/Postal Code *Daytime Phone *Other Parent/Guardian Name (if applicable)FirstLastOther Parent/Guardian PhonePlease list any physical limitations, restrictions, allergies, or medical conditions to be aware of, or medicine taken by your child: *May list "none" if applicableI give my child permission to attend organized field trips with the studio *YesNoI give my child permission to be photographed and for photos to be used in promotional materials *YesNoSelect your class session or camp *Winter Session: After-School Jan 6–Mar 24 (11 weeks) - $385.00Winter Session: After-School pro-rated to Jan 13 start - $350.00Winter Session: After-School pro-rated to Jan 20 start - $315.00Winter Session: After-School pro-rated to Jan 27 start - $280.00Winter Session: After-School pro-rated to Feb 3 start - $245.00Winter Session: After-School pro-rated to Feb 10 start - $210.00Winter Session: After-School pro-rated to Feb 17 start - $175.00Winter Session: After-School pro-rated to Feb 24 start - $140.00Winter Session: After-School pro-rated to Mar 3 start - $105.00Winter Session: After-School pro-rated to Mar 10 start - $70.00Winter Session: After-School pro-rated to Mar 17 start - $35.00Vacation Week Camp: Feb 17-21, 9am to 3pm - $375.00Vacation Week Camp: April 21-25, 9am to 3pm - $375.00Spring Session: After-School March 31 - June 6 (9 weeks) - $315.00Summer Camp Full Week Sessions 1, 3, 4, 5, 6, 7, 8, 9, 10 - $375.00Summer Camp Session 2 (4-day) - $300.00Credit Card Payment *Submit