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Please fill out online registration form below and one of our staff will contact about our camp classes. Our form uses the highest 2,048-bit encryption security, so identity and credit card information are absolutely safe
Camper Information
*
*
*
female male
Address *
State *
Zip *
Email
Home *
Cell
Grade Entering
School Attending
How did you hear about The Cre8 Institute?
Select session dates
 
 
1st Parent / Gaurdian Information
First Name *
Last Name *
Address *
City *
State *
Email *
Home *
Work *
Cell *
Relationship to camper *
If divorced, who has custody?
   
2nd Parent / Gaurdian Information
First Name
Last Name
Address
City
State
Email
Home
Work
Cell
Relationship to camper
   
ACCOMMODATIONS
Contact for information on hotels and pricing in area if needed.
   
MEDICAL INFORMATION
Any prescription medications taken?
PLEASE LIST HERE
Any food or drug allergies?
PLEASE LIST HERE
Any physical or emotional limitations?
PLEASE LIST HERE
 
EMERGENCY CONTACTS (LIST 3)
Name *
Phone Number *
   
Name *
Phone Number *
   
Name *
Phone Number *
   
REFERRAL
Know anyone who might like to learn about
The Cre8t Institute?
Name
Address
Email
   
PAYMENT
  • $350

*
Card Holder Name *
Card Number *
Expiration Date *
Card Holder
E-Signature		 *
   
CANCELLATION AND REFUND POLICY
Prior to May 1st, any money paid is fully refundable.
For cancellation after May 1st, the total tuition is
non-refundable.
   

TERMS
The directors reserve the right, at their discretion, to withdraw any camper whose influence or actions are deemed unsatisfactory to the Camp or who will not live within the rules and policies of the Camp. If it occurs, no reduction or return of fee, or any part thereof will be made.

In the event I cannot be reached in an emergency when my child is under The Cre8 Institute at Splashlight Studio’s Supervision, I hereby give permission to the physician selected by the camp director to hospitalize, secure proper treatment for, and/or order injections, anesthesia, or surgery for my child.

My child is permitted to participate in all camp programs planned and supervised by The Cre8 Institute.

I give The Cre8 Institute permission to reproduce and publish any photography, video, or likeness of my child for advertising, commercial or any purpose.

I have read and agree to the terms outlined above.
E-Signature of Parent or Guardian *
Date *
   

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