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Young Creators Camp 2022

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Youth Applicant's Name (First and Last)

Parent/Guardian Name(s) (First and Last)

Youth Email Address

Parent/Guardian Email Address

Youth's Phone

Parent/Guardian Primary Phone

Address

City

State

Zip Code

Youth Applicant Age

Gender Identity

Ethnicity

Does your child have any special needs?

i.e. food, allergies, mental health issues, behavorial concerns, etc

Allergies?

Does your child have any food allergies or dietary restrictions?

Credit Card

Please bring a signed liability waiver to the class. Click here to download it: Liability Waiver

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