Summer Art Camp Scholarship

Student Name *

First

Last

Age of Student *

Parent/Guardian Name *

First

Last

Parent/Guardian Email *

Address *

Address Line 1

Address Line 2

City

State

Zip Code

Daytime Phone *

Other Parent/Guardian Name (if applicable)

First

Last

Other Parent/Guardian Phone

Other Parent/Guardian Email

Please list any physical limitations, restrictions, allergies, or medical conditions to be aware of, or medicine taken by your child: *

May list "none" if applicable

I give my child permission to attend organized field trips with the studio *

Yes
No

I give my child permission to be photographed and for photos to be used in promotional materials *

Yes
No

Select Summer Art Camp Session *

Session 1: June 22–26, 2026 - $250.00
Session 2: June 29–July 3, 2026 - $250.00
Session 4: July 13–17, 2026 - $250.00
Session 6: July 27–31, 2026 - $250.00
Session 7: Aug. 3–7, 2026 - $250.00
Session 8: Aug. 10–14, 2026 - $250.00
Session 9: Aug 17–21, 2026 - $250.00

Camps run Mon–Fri, 9am–3pm.

Credit Card Payment *

permission Address Age

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