Registration Form – Laurel Arts Summer Camps

(please use one per camper – may be duplicated)

Please check camp(s) your child would like to attend:

Junior Art Camp (ages 3-5)

_____ Junior Art Camp (July 1-3) ages 3-5                                 $40 LA member/$50 non-member

            _____ morning session                  or       _____ afternoon session    (please check one)

_____ Junior Art Camp (August 5-7) ages 3-5                           $40 LA member/$50 non-member

            _____ morning session      or         _____ afternoon session    (please check one)

Regular Art Camp (Grades K-6)

_____Art Camps (June 10-13)                                                      $96 LA member/$120 non-member

_____Art Camps (June 17-20)                                                      $96 LA member/$120 non-member

_____Art Camps (July 29-August 1)                                             $96 LA member/$120 non-member

_____Art Camps (August 12-15)                                                  $96 LA member/$120 non-member

_____ Advanced Art Camp (July 8-11)                                        $104 LA member/$130 non-member

            _____ Drawing & Painting             or       _____ Sculpture       (please check one)

Theater Camp at Berlin-Red Riding Hood (ages 6-18)

_____ Theater Camp (June 23-28)                                              $104 LA member/$130 non-member

Art Camps at other county locations (Grades K-6)

_____ Windber Middle/High School (June 24-27)                    $96 LA member/$120 non-member

_____ Windber Middle/High School (August 5-8)                     $96 LA member/$120 non-member

_____ Meyersdale Area School District (June 24-27)               $96 LA member/$120 non-member

_____ Meyersdale  Area School District (July 20-August 1)    $96 LA member/$120 non-member

_____ North Star East Elementary (July 8-11)                           $96 LA member/$120 non-member

_____ North Star Central Elementary (August 12-15)              $96 LA member/$120 non-member

Child’s Name __________________________________________  Date of Birth______________________

Parents Name___________________________________________________________________________

Street ______________________________________City_________________State_______Zip__________

Home phone___________________ Work phone____________________Cell phone___________________

                        _____member                                  _____ non-member