Summer Camp Contact & Medical Form

We’re excited to welcome your camper!

Please fill out the secure form below to complete your camper’s registration.
You can also download and complete a PDF of the form to bring to the first class.
The instructor will contact you in advance of class to confirm attendance and form completion.

Thank you!

Camper's Name(Required)
Parent / Guardian Name(Required)
Address(Required)
Please note if your camper carries either of these devices:
Will your camper need to take any medications during camp time?(Required)
Physician Name
Photo / Media Waiver(Required)
I give Somerset Artists’ Co-Op permission to use photographs or video made during Camp for promotional purposes. I understand the images may be used in local newspapers, internet, or Co-Op programs. The Co-Op will not sell, give away these images, or use in any manner other than described above.
Typing your name into the field below will represent your digital signature on this form submission.
Yes! Please subscribe me to the Somerset Artists' Co-Op email list.
I understand my email will not be shared with third-parties without my express permission.