onlineregistration
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Online Registration

Participant Name(s)
Age
Desired Session/Date   -  (9am-3:30pm)
City
State
Zip
*
*
*
Parent/Guardian
Email:
Home Phone
Alternate Phone
Address
*
*
*
*
Home Phone
*
*
*
Relationship to Child
Energency Contact
(if you are available)
Child 1
Sibling
Sibling
Alternate #
Send me Flyers to pass out
Quantity
Game Making Software for home computer - $40+tax
Digital Music Production Software - $60+tax
Did another enrollee refer you to Digital arts Camp?
Yes
No
Referred By
Are you registering as apart of an existing GROUP?
Yes
No
Group Name
Digital Arts T-Shirt ($12+tax)
Digital Arts Polo Shirt ($17+tax)
Optional Services/Fees
Discount Validation (See Available Discounts)
Lunch Program  $30.00/wk - Full-Day attendees only (Complete Lunch Form & return on 1st day)
Microsoft Office 2007 Software - $149+tax
Early Bird Dropoff (7:30am - 9:00am)  - $40/wk
Late Owl Pickup (3:30pm - 5:30pm)  - $40/wk
* Required Fields