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STUDENT REGISTRATION AND PAYMENT
registration from must be submitted and paid the Friday before each week
Step 1 of 2

* indicates REQUIRED FIELD

Childs Name #1:  *

What classes are you signing up for?
    6A : July 24-28    7A : July 31-August 4    8A : August 7-11    6B : July 24-28    7B : July 31-August 4
   8B : August 7-11


Age: *         T-Shirt Size: *         Allergies: *   Yes   No   

Childs Name #2:  

What classes are you signing up for?
    6A : July 24-28    7A : July 31-August 4    8A : August 7-11    6B : July 24-28    7B : July 31-August 4
   8B : August 7-11


Age:         T-Shirt Size:         Allergies:   Yes   No   

Childs Name #3:  

What classes are you signing up for?
    6A : July 24-28    7A : July 31-August 4    8A : August 7-11    6B : July 24-28    7B : July 31-August 4
   8B : August 7-11


Age:         T-Shirt Size:         Allergies:   Yes   No   

If you indicated “Yes” for Allergies or if your child has any medical conditions staff need to be aware of, please list type of allergy(s)/ medical condition, whether your child will be carrying an EpiPen or inhaler, and any specific directions regarding emergency treatment:


Parent/Guardian Name:  *     Relationship:  
Email:  * Address:  *
City:  * State:  * Zip:  *
Phone - Home:   Phone - Cell:  * May we text you:     Yes   No


Emergency Contact if different from above:
Name:   Relationship:  
Phone - Home :   Phone - Cell :  
May we text your emergency contact:     Yes   No

Photo Release: photos may be taken during Summer Art Camp. We would like your permission to use these photos on our website, brochures, or display boards. Photos selected would be to highlight the children’s activities. We will not reference your child by name or provide any specific information regarding your child. Photos will be used only by Anderson Arts Center of Anderson, South Carolina. Please let us know your preferences regarding the use of photos of your children.
  YES I grant permission to use photos of my child on the Anderson Arts Center website (http://andersonarts.org/),
in brochures, or display boards at the Arts Center.   
NO Please do NOT take or use any photos of my child.

Anderson Arts Center | 110 Federal Street | Anderson SC 29625 | 864.222.2787 | fax 864.716.3840
Gallery & Office Hours | Tuesday through Friday | 9:30am to 5:30pm