ARTisTRY Visual Arts Camp Form 2024

Thank you for registering for our ARTisTRY Visual Arts Camp 2024! Your payment has been received. We just need a few details from you for our records. Please fill out the following form.

Take advantage of our membership discount by signing up as a member of HRAC here.

Contact Information

Camp Registration Fee *	Quantity
$55 - HRAC Member
$65 - Non-Member

Parent's Name

First Name

Last Name

Parent's Email

Verify Email

Parent's Phone

Emergency Contact Name (if we can't get in touch with you)

First Name

Last Name

Emergency Contact's Phone

How many children are you registering for ARTisTRY Visual Arts Camp?

Child's Name

First Name

Last Name

Child's Age

So that we can best serve our campers, children will be split into 2 groups based on age. Please select the group that your child will be in based on his/her age on June 10, 2024. Please note: our 6-11 age group has reached capacity.

Age 6-11

Child's Name

First Name

Last Name

Child's Age

So that we can best serve our campers, children will be split into 2 groups based on age. Please select the group that your child will be in based on his/her age on June 10, 2024.

Age 12 - 16

Child's Name

First Name

Last Name

Child's Age

So that we can best serve our campers, children will be split into 2 groups based on age. Please select the group that your child will be in based on his/her age on June 10, 2024.

Age 12 - 16

Child's Name

First Name

Last Name

Child's Age

So that we can best serve our campers, children will be split into 2 groups based on age. Please select the group that your child will be in based on his/her age on June 10, 2024.

Age 12 - 16

Does your child(ren) have any allergies or medical conditions we should be aware of?

Please name the child, then name the condition we should be aware of. Do this for each child you are registering. (Ex: Johnny Smith, peanut allergy)

In case of an emergency, I (the parent/guardian) will be responsible for all bills incurred while receiving treatment and transportation.

Yes (by checking this box you "electronically" sign and agree)

I grant permission to the Hammond Regional Arts Center to make videotapes, photographs, and/or sound recordings separately, or in combination, of my child(ren) for marketing and/or recruitment purposes.

When I electronically submit this, I am indicating that I have read this information and that I am agreeing to the use of photographs, videos, and/or sound recordings of my child(ren) for web or printed publication. I agree that these photos or recordings will remain the property of the Hammond Regional Arts Center.

Yes, I give permission

No, I do not give permission