Summer Camp Registration

AcA Summer Art Camp Registration

Time to register for Summer Art Camps at AcA! One registration form per child please. Upon completion of one registration, you'll have the opportunity to register a another child. If you do not see a camp listed below, registration is full!
Camper Information
Child's Name
Nickname (if applicable)
Age
Birthdate

MonthDayYear
Date
Grade level for following year
Dietary Restrictions and/or Allergies
Medical or other conditions we should be aware of
Parent/Guardian Name
Parent/Guardian Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Parent/Guardian Email Address
example@example.com
Emergency Contact #1 Name
Emergency Contact #1 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #2 Name
Emergency Contact #2 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact #3 Name
Emergency Contact #3 Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Release and Waiver and Liability
By signing below, I acknowledge that I have read and agree to the Camp Guidelines, Waiver, and Photo Release.
Camp Selection
Have a waitlist code? Enter it here:
Session 1 • June 1–5
Session 2 • June 8–12 (this camp can be paired with session 3 to make a full day camp).
Session 3 • June 8–12 (this camp can be paired with session 2 to make a full day camp).
Session 4a • June 15–19 **To register for the full week, select 4a-4e**
Session 4b • June 15–19 **To register for the full week, select 4a-4e**
Session 4c • June 15–19 **To register for the full week, select 4a-4e**
Session 4d • June 15–19 **To register for the full week, select 4a-4e**
Session 4e • June 15–19 **To register for the full week, select 4a-4e**
Session 5 • June 15–19
Session 6 • June 22-26
Session 7 • June 22-26
Session 8 • June 22-24
Session 9a • June 29-July 3 **To register for the full week, select 9a-9e**
Session 9b • June 29-July 3 **To register for the full week, select 9a-9e**
Session 9c • June 29-July 3 **To register for the full week, select 9a-9e**
Session 9d • June 29-July 3 **To register for the full week, select 9a-9e**
Session 9e • June 29-July 3 **To register for the full week, select 9a-9e**
Session 10a • June 29-July 3 **To register for the full week, select 10a-10e**
Session 10b • June 29-July 3 **To register for the full week, select 10a-10e**
Session 10c • June 29-July 3 **To register for the full week, select 10a-10e**
Session 10d • June 29-July 3 **To register for the full week, select 10a-10e**
Session 10e • June 29-July 3 **To register for the full week, select 10a-10e**
Session 11 • July 6-10
Session 12 • July 6-10
Session 13 • July 13-17
Session 14 • July 13-17
Session 15 • July 20-24
Camps Selected
Total Due
Subtotal
Discount Amount
Coupon Code (if applicable)
Are you a member of the AcA at the Family Level or above? If you're unsure of your membership status, email our Development Manager Allison at allison@acadianacenterforthearts.org before submitting your registration form!
Deposit Amount Due Today
Remaining Balance (Non-Member)
Email Address of the individual who should receive remaining balance payment link
example@example.com
Member Balance
Deposit carry over
Remaining Balance #2

Should be Empty:

AcA Summer Art Camp Registration

Camper Information

Release and Waiver and Liability

Camp Selection

Payment Information

Credit Card