Art Camp Registration Form

VAULT Art Camps Registration Form

Name of Camp (Cartoon Camp, Camp I or Camp II)

_________________________________________________________________________

Camper’s name _______________________________________________ Age _________

Address ______________________________Town ___________________ State________

Parent/Guardian name _______________________________________________________

Contact Number(s) __________________________________________________________

_________________________________________________________________________

You can register by phone with a VISA or MasterCard or send in the registration form with a check

to: Gallery at the VAULT, 68 Main St., Springfield, VT 05156

Thank you and we look forward to seeing you this summer!

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I, _______________________________________ give VAULT staff permission to photograph

my child participating in the art camp and understand that photoswill be used in marketing and fundraising materials as well as posted on the VAULT website.

Today’s date: ___________ VAULT staff: _________________________________________