Art Camp Registration Form

Creation Sensation Summer Art Camp - June 8-12, 2015 $150*/child

* Indicates required field

Child 1 Name *

First

Last

Child 1 Age and Birthday *

Allergies *

Child 2 Name *

First

Last

Child 2 Age and Birthday *

Allergies *

Child 3 Name *

First

Last

Child 3 Age and Birthday *

Allergies *

Parent Name *

First

Last

Phone Number *

Emergency Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email (for camp confirmation and details) *

My child/children will be picked up by:

Name *

First

Last

Name *

First

Last

Phone Number *

Phone Number *

To Pay Online:
After submitting this form, please return to our home page and click on "Online Giving". Log in or set up an online profile (you will be required to set up an online profile if you have not donated or made a payment on our site before) and hit "Add Transaction". Fill in the correct camp amount ($152.95) in the "CECE/Art Camp" box and continue to follow the directions. (The additional $2.95 is an electronic processing fee.)

To Pay by Check:
Write a check for $150 made out to Mt. Calvary CECE with "2015 Art Camp" and your child's name in the memo line. Mail the check to Mt. Calvary CECE, 9321 Litzsinger Rd., Brentwood, MO 63144.

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