Ceramic Cellar Art Studios Summer Camp Registration

This form sends an e-mail to Ceramic Cellar Art Studios

Ceramic Cellar Art Studios Summer Camp Registration


Parent Information
First Name:

Last Name:

Phone Number:

Email:

Child's Information
How Many Children would you like to Register?

Child's Name: Child's Age:

Child's Name: Child's Age:

Child's Name: Child's Age:

Child's Name: Child's Age:

Child's Name: Child's Age:

What dates where you thinking of registering your children?

Week of: 

What time slot?  Select:

Note: The following time and dates are a request only, and will not be

confirmed until a $40 deposit has been made at Ceramic Cellar Art Studios

Ceramic Cellar Art Studios will be providing snacks each day during their art session:

Does your child (or children) have any special food requirements?  Yes No
Does your child (or children) have any special needs?  Yes No

Additional Comments: