REGISTRATION NOW OPEN FOR ALL 2025 DATES

Creative Expression

for Kids

2025

Children ages 5 - 11

2024 dates:

2025 dates:

February 17-21

April 14-18

August 25-29

Registration is $300 per child/per week

Program hours run from 9 am - 3 pm

Registration Form

Child's Name

First Name

Last Name

Child's Age

Please list any allergies or other important information we should know.

Second child's name (if applicable)

First Name

Last Name

Second child's age (if applicable)

Second child - please list any allergies or other important information we should know (if applicable)

Caregiver's Name

First Name

Last Name

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Phone

(###)

###

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Select Dates

Registration is $300 per child/per week

February 17-21

April 14-18

August 25-29

Has your child attended our program before?

If the answer is yes and the information has not changed, you do not have to complete the rest of this form

Emergency Contact Name (Other than Caregiver)

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Additional Emergency Contact Name (Other than Caregiver)

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Authorized Grownups for Pickup (Please list the names of people that you authorize to pick up your child on your behalf)

Program Description