2016 SUMMER ART SHACK REGISTRATION FORM
A funky little shack offering art lessons for all ages!
Student’s Name: _________________________________________________
Phone: ________________________ Age: ______ Grade in Fall ‘16:_______
Parent/Guardian’s Name: __________________________________________
Mailing Address: _________________________________________________
E-mail Address (parent):___________________________________________
(student) ______________________________
Each day at the ART SHACK is a new adventure! With friends, a lot of
materials, and your amazing imagination….great art will be created and new
techniques will be learned! The Art Shack believes that EVERYONE is capable of
creating art! Art is about self-expression and enjoying the creative process.
We will learn new techniques as well as create some “finished” art pieces! If
you are really interested in creating something specific, or using a specific
material please let us know! Come for the whole week, or pick a few days! Classes
are best for rising 1st grade through high school age and are customized per
student!
Week long students will need to bring a sketchbook!
We will learn some drawing techniques
to help you LOVE using your sketchbook, recording adventures visually, and experimenting!
Week long students will paint something specific to their interest on a canvas!
Week long students will enjoy creating art outside, on various
materials and with new friends!
CAMP is from 9-12:00 Monday through Friday on these dates:
(Please circle which week you are attending)
(The week of June 27th & July 18th wil primarily be taught by Angelica Henry. This is best suited for middle & high school students. You will gain confidence in your drawing skills & enjoy exploring new art techniques!)
Monday, June 27 thru Friday, July 1
Days attending: M T W
Th F
Monday, July 18 thru Friday, July 22 Days attending: M T W
Th F
(The week of July 25 is best suited for Elementary age students!)
Monday, July 25 thru Friday, July 29 Days attending: M T W
Th F
(during the same week) 2 days: $70; 3 days: $100; 5 days: $140 ($125 for
returning week long students)
Total enclosed: ___________
**You can pay via Pay Pal
to creativeandcolorful@yahoo.com
Please send registration forms via
e-mail & you can sign on the first day of camp. Checks can be made payable to Elizabeth
Miller and mailed to: the Art
Shack 165 Hampton Road, Winston-Salem, NC 27103
** No refunds are given if there is not a minimum one week notice. All spots are filled, and you are committing to your spot! Classes are subject to being cancelled if there is not a minimum of 6 kids enrolled.
Consent: I authorize Elizabeth Miller to seek appropriate medical attention for my child, including the right to authorize medical treatment in my absence. I understand that I am financially responsible for all medical treatment. My child’s photo may be taken and used in “Art Shack” publicity unless I request otherwise in writing. Parent’s signature: __________________________
Medication currently taking: _________________________________________
Medical conditions/allergies:_________________________________________
** DRESS FOR A MESS If you have a sketchbook, please bring it. We will practice art techniques as well as complete finished art pieces over the course of the week!
Questions? Please call Elizabeth at 399-0707 or e-mail creativeandcolorful@yahoo.com
