Register 2023 – Artworth

REGISTER

Registration Is Open

Camp Registration Form

Use this form to register up to Two Children for ArtWorth Camp.
To register additional children, please submit additional forms.

Camp fees:

Senior Camp (9 to 13 year olds)
2 Week Camp, July 17 to 28, 2023 in Hastings and Campbellford
$500/camper

Junior Camp (6 to 8 year olds)
1 Week Camp, July 10 to 14, 2023 in Warkworth
1 Week Camp, July 24 to 28 in Campbellford
$250/camper

Use the PDF version of the registration form if you are unable to use the online form. Please email it to artworthcamp@gmail.com or mail it to 360 Godolphin Rd Warkworth On K0k3K0 with your cheque for payment.

You can also request a printed form for pick-up by emailing artworthcamp@gmail.com.

Both camps are full. Accepting Waitlist only.
Please do not send payment until your spot is confirmed.

Click to Download a Printable PDF version of the Registration Form and Release Form.

After you hit SUBMIT below, you then need to send in your payment. Please send your payment by Interac E-transfer to artworthcamp@gmail.com and your payment will be auto deposited. OR you can mail your cheque to ArtWorth c/o 363 Godolphin Rd Warkworth On. K0K 3K0.

Registration for ArtWorth 2023

Use the form below to register for ArtWorth 2023.

*Required Fields

CAMPER #1

1 First Name

1 Last Name

1 Date of Birth

1 Gender

1 Which Camp?

1 Preferred T-Shirt Size

CAMPER #2

2 First Name

2 Last Name

2 Date of Birth

2 Gender

2 Which Camp?

2 Preferred T-Shirt Size

PARENT/GUARDIAN INFO

Parent First Name

Parent Last Name

Parent Email

Parent Home Phone

Parent Mobile Phone

Parent Work Phone

MAILING ADDRESS

Street

City

Province

Postal Code

ALTERNATE CONTACT #1
Another person to be contacted in an emergency or who has the right to pick up the child.

Contact 1 First Name

Contact 1 Last Name

Contact 1 Relationship

Contact 1 Home Phone

Contact 1 Mobile Phone

Contact 1 Work Phone

ALTERNATE CONTACT #2
Another person to be contacted in an emergency or who has the right to pick up the child.

Contact 2 First Name

Contact 2 Last Name

Contact 2 Relationship

Contact 2 Home Phone

Contact 2 Mobile Phone

Contact 2 Work Phone

DOCTOR INFORMATION

Doctor Name

Doctor Office Phone

MEDICAL INFORMATION
Does your child have any medical/developmental/physical/behavioural/emotional conditions or concerns?

Medical Concerns

Medical Concerns More Info

Does your child take any daily medications?

Daily Medication

Daily Medication More Info

Does your child have any life-threatening allergies or medications/food/insect bites?

Allergies

Allergies More Info

Does your child carry an EPI Pen or ANA Kit?
(Please note, ArtWorth cannot guarantee an allergen-free environment.)

Carries Epi Pen or ANA Kit?

PARENT/GUARDIAN AUTHORIZATION

Parent/Guardian Authorization

I have reviewed the information provided in this registration document, and confirm that the information is accurate and complete.*

Parent/Guardian, by typing your name below, you are "Signing" this document.

Parent/Guarian Signature

Today's Date

Camp fees
Senior Camp (9 to 13 year olds)
: 2 Week Camp, July 17 to 28, 2023 in Hastings and Campbellford
$500/camper

Junior Camp (6 to 8 year olds)
1 Week Camp, July 10 to 14, 2023 in Warkworth
1 Week Camp, July 24 to 28 in Campbellford
$250/camper

After you hit SUBMIT below, you will be taken to the Program Agreement Form. Please read that form and provide your approval at the bottom of that form.
At the bottom of the Program Agreement Form, you will find instructions on how to submit payment for the registration. Thank you.

Please wait for an email confirmation of your ArtWorth Camp spot prior to sending payment. We are close to being full or accepting waitlist only!

Enrich your child's life today.

For more information Click Here.

Camp Location

Percy Park / Mill Creek Park in Warkworth
and Kennedy Park in Campbellford

Email

artworthcamp@gmail.com