Artand - Math Art Connections

Math Art Connections

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Household Information

Parent/Guardian Information

Add A Second Parent/Guardian

Parent/Guardian 1

First name: Last name: Daytime Contact Phone: Email Address: Street Address: Apartment Number: City: State: Zip Code:

Parent/Guardian 2

First name: Last name: Daytime Contact Phone: Email Address: Street Address: Apartment Number: City: State: Zip Code:

Local Emergency Contact

An emergency contact is required to register for the Math Art Connections summer camp.

First name: Last name: Relationship to Child: Cell Number: Home Number: Work Number:

Approved Pick-up List

Add up to three Approved Pick-ups. Must include full name and relationship to the campers you wish to register.

Approved Pickup 1

Full Name: Relationship to Child:

Approved Pickup 2

Full Name: Relationship to Child:

Approved Pickup 3

Full Name: Relationship to Child:

Camper Information

How Many Campers Are You Registering?

1 2 3 4

Camper 1

At least one camp must be selected to proceed with registration.

Plus Minus Zero

Times Into Fractions

Geometry

Turbo Multiplication

First name: Last name: Birth date: Grade: About Your Child:

Please include any important information about your child. Such as allergies, or relevant medical conditions.

Camper 2

At least one camp must be selected to proceed with registration.

Plus Minus Zero

Times Into Fractions

Geometry

Turbo Multiplication

First name: Last name: Birth date: Grade: About Your Child:

Please include any important information about your child. Such as allergies, or relevant medical conditions.

Camper 3

At least one camp must be selected to proceed with registration.

Plus Minus Zero

Times Into Fractions

Geometry

Turbo Multiplication

First name: Last name: Birth date: Grade: About Your Child:

Please include any important information about your child. Such as allergies, or relevant medical conditions.

Camper 4

At least one camp must be selected to proceed with registration.

Plus Minus Zero

Times Into Fractions

Geometry

Turbo Multiplication

First name: Last name: Birth date: Grade: About Your Child:

Please include any important information about your child. Such as allergies, or relevant medical conditions.

Policy Agreement

I have read, and agree to the terms of the Policy Handbook