2017 SUMMER ARTS CAMP REGISTRATION FORM Register onllne at tarrytownartscamp.com OR complete and mail form. All registrants must mail payment within one week of online registration to: Alison Paul, 2 Manor Close, Sleepy Hollow, NY 10591. PLEASE PRINT CLEARLY Camper’s Name (1 form per child) _________________________________________________________________ Age ________________ Date of Birth __________________________ Grade NEXT YEAR, Sept 2017 __________ Address ______________________________________________________________________________________ Town Zip Parent/Guardian: _______________________________________________________________________________ Home Phone: ________________________ Cell ______________________________________________________ Email for Confirmation. Print clearly: ______________________________________________________________ Emergency Contact: _____________________________________ Phone: _________________________________ My child is allergic to: ____________________________________________________________________________ Special conditions we should know about your child: _____________________________________________________________________________________________ Check Program(s). OPEN CALL DRAMA CAMP ___ June 26-30. Monday-Friday. 9:15am-2:30pm. Grades 4-6. $275. At Washington Irving School. MULTI ARTS CAMP Grades K-4. Sleepy Hollow High School Half Day: Multi Arts ONLY all 3 weeks. 9am-12pm ___ Residents $450 ___ Others $500 Full Day: Multi Arts + Latin Music all 3 wks 9am-2:30pm Gr 2-4 ___ Residents $800 ___ Others $850 OR BY THE WEEK Multi Arts $160/wk residents. $175/wk others. 9am-12pm ___ July 10-14 ___ July 17-21 REFUNDS Full refunds before May 1. Open Call: May 1-June 11, full refund less $25 registration fee. June 12-18, 75% refund. June 19-25, 50% refunds. No refunds after June 26. All Other Programs: May 1-June 25, full refund less $25 registration fee. June 26-July 2, 75% refund. July 3-July 9, 50% refund. No refunds after July 10 ___ July 24-28 Multi Arts + Latin Music 9-2:30pm $280/wk Residents $300/wk Others ___ July 10-14 CONFIRMATIONS: Will be sent by email. ___ July 17-21 ___ July 24-28 CLAY CAMP Mondays-Fridays. 9:15am-2:30pm Sleepy Hollow HS. Grades 4-8. Two sections. $350/wk. ___ July 10-14 ___ July 17-21 SCHOLARSHIPS: Limited number available to school district students. Contact school social worker _____Check here to request a scholarship. QUESTIONS: Contact Alison Paul at [email protected] or 914-450-6339. ARCHITECTURE FOR KIDS Mon-Fri. Grades 4-7 SHHS _______ July 24-28. 9:15am-2:30pm. $285 CHECKS PAYABLE TO: PAYMENT. Sibling discount: Subtract $30 FROM TOTAL for 2nd and 3rd child. UFSD of the Tarrytowns _______+_______+______ + ______ - $30 ______ $ ______ Camp Fee Total Write camper’s name on check. SCHOLARSHIPS MATTER! Please donate! Thank you. $______ Donation Payment must be received one week from registration to guarantee placement. $______ TOTAL ENCLOSED PHOTO RELEASE: (optional) I give Summer Arts Camp permission to photograph my child and use photos in printed and electronic materials related to the Camp, and on website. Parent Signature __________________________________________________________ MAIL TO: Alison Paul 2 Manor Close Sleepy Hollow, NY 10591 Attn: Camp
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