Hello! We're glad that you are interested in the Art Camp 2018. Please fill out the form below to register your child. (If registering siblings, please register each child separately.). This is a secure form. At the end of the form you will be able to pay the registration fee through PayPal.
Child's First Name*
Child's Last Name*
Grade Entering: *
Date of Birth
Name of a Parent*
Home Address: Street *
Home Address: City, State*
Email (to send a registration receipt)*
Mobile phone number:
Home Church (if applicable):
Siblings Attending camp (First & last name, and age)
Emergency Contact Person
Emergency Phone Number
Allergies (if any):*
Doctor's Phone Number
Medical issues or special needs:
I give the camp staff permission to administer basic First Aid to my child in case of injury. I further permit camp staff to contact the listed medical contact(s).*
Person (other than parent) who may pick up my child
An Art Camp T-shirt comes with your registration. Please select the shirt size you desire.*
Youth - XS
Youth - S
Youth - M
Youth - XL
Adult - S
Adult - M
Adult - L
Confirmation: If you entered an email address above we will email you a confirmation of this registration. Otherwise we will send a confirmation in the US mail.
I understand that my child may be photographed at the Art Camp while participating in regular daily camp activities. I understand that these photographs may be used by Prince of Peace in promoting the Art Camp, either in print or on the internet."
>> Please check the box (below) to acknowledge this, and give your consent for us to publish pictures with your child, if alone, in our events photo gallery.
I give permission for my child (named above) to attend the Art Camp as listed above. I understand that the information I give for this registration will only be used by Prince of Peace Lutheran Church.*
You can pay the registration fee online through PayPal (there is a credit card option). The transaction is secure and a receipt will be forwarded to you.
To register by mail, download the printable form
, fill out, sign and mail it with a check for made out to Prince of Peace Lutheran Church. Registration is:
• $25 per child
• $30 per child after June 24th
Mail to: Prince of Peace Lutheran Church, 6020 Pittsford-Palmyra Rd., Fairport, NY 14450