Artstarts Company
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                       Artstarts Company’s Summer Camps - 2015
                                                                    Mailable Registration Form

You can register and pay on line or through mail, by returning this form to Artstarts, P. O. Box 1005, Marion, IL 62959.
Questions: Call Artstarts: (618) 645-2787

Costume Making Camp            Art Camp                     Lion King Experience Theater Camp
June 16, 18, 23, 25, 30,               
July 2, 7, 9, 2015                           June 29-July 2, 2015            July 6-10, 2015    
$10 per day                                    $80                                       $100
Artstarts House                            Artstarts House                     Marion Cultural & Civic Center
104 S. Van Buren                            104 S. Van Buren                    800 Tower Square Plaza     
Marion, IL 62959                           Marion, IL 62959                   Marion, IL 62959       

Drum Camp
                                   Note:  Cooking Camp is filled and no longer available
July 20 - 14, 2015
$100
Artstarts House
104 S. Van Buren
Marion, IL   62959

Which camp(s) do you choose?: _________________________________________________________

Participant’s Name: ______________________________________________Participant’s Age:______

Address: ___________________________________________________________________________      

(Be certain to also include town and zip code)

EMAIL Address(es):_________________________________________________________________

Phone: _____________________________      What size shirt does the participant wear?   Circle one

Child Small 6-8           Child Medium 10-12               Child Large 14-16

Adult Small                Adult Medium                Adult Large                Adult X Large

HEALTH INFORMATION :

Known allergies or other medical conditions that Directors should be aware of:

In case of a medical emergency the following people should be contacted:

(Provide names and telephone numbers)

REGISTRATION FEE: See camp Descriptions. This amount covers registration, supplies, and a t-shirt. If you cannot pay the entire fee at this time please inform Artstarts staff.  Please do not let this fee prevent your child from participating in the camp. We will work with you on this.

Artstarts Company  A 501(c)(3) Not-For-Profit Company
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