RegisterCamp Create 3

REGISTER CAMP CREATE SESSION 3

SESSION 3
Drawing & Anime with Jason Hayes
Ages 8 - 12
July 27- July 31, 2026 l 9 am - 12 noon AND/OR 1 pm - 4 pm

Cost: $150 - 1/2 day OR $300 all day

CAMPERSHIP RATES
Cost: $50 - 1/2 day OR $100 all day

REGISTRATION FORM - Session 3 l July 27 - July 31, 2026

Your child is eligible for our Camp Create Campership Program, which offers a significant discount off the regular rates.

Please submit one registration form per child.

* Indicates required field

Camper's Name *

First

Last

Camper's Age *

Camper's Address *

Line 1

Line 2

City

State

Zip Code

Country

Choose One *

MORNING SESSION - 9 AM to 12 )M AFTERNOON SESSION - 1 PM - 4 PM BOTH SESSIONS: 9 -12 & 1 - 4

Parent / Guardian Name *

First

Last

Parent/Guardian's Phone Number *

Parent/Guardian's Email *

Emergency Contact Name *

First

Last

Emergency Contact Phone Number *

Parent/Guardian Authorization to participate *

This camper has my authorization to engage in the activities of the Gallery 53 Summer Art Camp program.

Permission to use photograph *

I allow taking photography of this camper that can be used for Gallery 53’s Summer Art Camp portfolio or advertising.

Liability *

I release Gallery 53/Arts & Crafts Association of Meriden, Inc., and any of its volunteers, staff, or director for any responsibility in case of accident, illness, or injury during this camper's enrollment.

Please describe any special medical (i.e., allergies) or learning needs your child may have. By letting us know in advance, we can provide the best possible experience for your child: *

By clicking “submit,” I say that I am the parent and/or guardian of the minor named above and have the legal authority to execute the above release.

You will be redirected to a payment page where you can pay by credit card or PayPal.

Submit

REGISTER CAMP CREATE SESSION 3

Your child is eligible for our Camp Create Campership Program, which offers a significant discount off the regular rates.​Please submit one registration form per child.

Your child is eligible for our Camp Create Campership Program, which offers a significant discount off the regular rates.

Please submit one registration form per child.