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Summer Academy Of The Arts: Online Registration

To register online, please fill out the form below.
Or if you prefer, you may print and fill out the following documents:
  1. Registration Form
  2. Emergency Information Card
  3. Medical Release Form
City of Lindsay
SUMMER ACADEMY OF THE ARTS
Camper Registration Form

CAMPER INFORMATION
Date of Birth:
Gender:
Entering grade in the Fall 2006
T-Shirt Size: Youth
Adult
SESSION DATES
Please check the sessions your child is planning on attending:
PARENT/GUARDIAN INFORMATION
Authorized to pick up
 
Authorized to pick up
EMERGENCY CONTACTS AND/OR AUTHORIZED PICK-UPS
Primary Contact:
Emergency contact?
Authorized to pick-up?

Secondary Contact:
Emergency contact?
Authorized to pick-up?
CURRENT HEALTH INFORMATION
Does your child have any chronic or recent health problems?
Is your child allergic to any insects, food, or drugs?
Is your child taking any prescription medications?
Is your child covered by insurance?
I consent to release of information and submission of claims to my insurance
carrier
GENERAL INFORMATION
How would you rate your child's physical condition?
Does your child know how to swim?
If yes, how good a swimmer are they?
Does your child wear glasses?
Contact lenses?
Does your child sunburn easily?
 
UDM 4