Arts Camp 2022 Registration Form

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CLASSES FOR 1ST/2ND AND 3RD/4TH GRADES ARE NOW FULL. LIMITED SPACES AVAILABLE FOR 5TH/6TH. The Medina County Arts Council is proud to announce its first annual Arts Camp for kids! It will be held during Arts Week, July 11, 12, and 13 at The United Church of Christ, Congregational, 217 E. Liberty Street, Medina, OH 44256. The camp will group children by grades (1st and 2nd, 3rd and 4th, 5th and 6th) and will include visual art, dance and theater skills. At the conclusion of the camp at noon on July 13th, we will celebrate their accomplishments with a festival in the Square. The children will display their art and perform for their families. There will be musical entertainment in the gazebo, children's activities, and food to purchase. Please fill out the questions below to register.

Email *

What is your child's full name? *

What is his/her grade? *

5th

6th

Name of parent or guardian *

Address of parent or guardian *

Phone number of parent or guardian *

If you will not be picking up your child each day, please give the name and phone number of that person. *

Emergency contact if parent is not available. Please give a name and phone number. *

Our camp will begin at 9:00 am and last until 12pm for 3 consecutive days, July 11, 12 and 13. Can your child attend each day? *

Yes

If you answered no above, please explain what days and times your child could not attend. *

Does your child have any allergies? If so please list. *

What is your child's tee-shirt size? *

Youth XS

Youth S

Youth M

Youth L

Adult S

Adult M

Adult L

Payment: $50 registration fee. Registrations are accepted on a first-come, first-served basis. There will be 20 students admitted to each section (1st and 2nd grade, 3rd and 4th grade, 5th and 6th grade). Attendance will be limited to 60 participants. *

I will pay by the square link: https://square.link/u/FCG3zZtn

I will be sending in a check to The Medina County Arts Council, P.O. Box 532, Medina, OH 44258

There are scholarships available for participants experiencing financial difficulties. Would you be interested in this? Please respond below; and if yes, reach out to [email protected] for more information. *

Yes

A copy of your responses will be emailed to the address you provided.

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