Summer Camps Week 2

Child's Information

First Name*

Middle Name

Last Name*

Gender

MaleFemaleOther

Child's Birthday

Name of Child's SchoolPress ctrl or ⌘ (in Mac) while clicking to select multiple options.

Child's Medical Number

Other Schools

Any medical concerns? *

Program Selection

Parent/ Guardian Information

First Name*

Last Name*

Email*

Address*

Address Line 1*

Address Line 2

City*

State or Region*

Country*

ZIP*

Emergency Contact and Drop-off/Pickup Alternative person

First Name*

Last Name*

Phone*

Email*

Photo and Video Consent Form

We take photos and videos during Kids Architecture Classes to showcase activities on our website and materials. We mostly capture hands and projects, but faces may appear in the background.

Do you consent to your child’s photo/video being used for this purpose?*

YesNo

Declaration/Signature and Submission

Signature*

Date*

Summer Camp Registration Week 2