2020 Summer Teens Intensive - Factoria (Ages 11-17)

3. Factoria Camp
12816 SE 38th St., Bellevue, WA 98006

Thank you for booking with us ! Camp time is 10am-3:30pm, the earliest drop off time is 9:45 am. please bring lunch & snacks

Buyer/Parent Information

E-mail

First name

Last name

Phone

_

Second Parent's Name, Phone and Email (optional)

(If different than above) Self? Pickup person's Name, Phone & Relationship to Student (optional)

Camper Information

Select Number of Campers

Max of 5

My child is a

First-time student $20.00 Returning student $0.00

If returning student, when and which art program? (optional)

Name, Age, Gender and Home Address of all campers

Book a week , or 2 weeks with discount

Week 4 (7/13-7/17) (optional)

Week 9 (8/17-8/21) (optional)

Add extened care (3:30 -4:30 pm) for the week ($60.00 extra) (optional)

Waivers, Cancellation & Refund Policies

------I give permission for my child/children to participate in the art program at AL Studio. In consideration of these opportunities, I assume all risks incidental to such participation. Neither AL Studio, nor their employees shall be held financially responsible or liable for any injuries that may occur. I, the undersigned, have read this release and execute it voluntarily. In the event of an emergency and I cannot be reached, I hereby authorize emergency medical treatment be administered

I have read and agree

Allergy or other health concerns? (optional)

For photos of my child/children (or myself ) to be used on studio website, publication and exhibitions.

Yes, I give permission No, I deny permission

Discounts

I am registering for siblings; or for multiple weeks; or my child is a current weekly class student (5% off) (optional)

Discount or Gift Card Code

Order Total: $0.00