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Home --> Mini-Camp Registration Form

Registration
Mini-Camps 2008
Please call for multiple camp and child discounts.
When completed fax this form to Not Just Art at 516-922-9417
or mail it to: 183 South Street, Oyster Bay, NY 11771
Phone 516-922-8300
NOTE: There is no online registration for Mini-Camps.


Family Name:
________________________________________
Mother:
________________________________________
Father:
________________________________________
Address:
________________________________________
City:
________________________________________
State:
________________________________________
Zip:
________________________________________
Home Phone:
(        )         -
Work Phone:
(        )         -           (Who?)_________________
Mobile/Pager:
(        )         -
E-mail:
________________________________________
Child(ren)'s Names:
________________________________________
Date(s) of Birth:
________________________________________

We wish to enroll for the following mini-camps:

Number 1

Child 1:
____________________
Child 2:
____________________
Mini-Camp Name:
____________________
Dates:
____________________
Number 2

Child 1:
____________________
Child 2:
____________________
Mini-Camp Name:
____________________
Dates:
____________________
Number 3

Child 1:
____________________
Child 2:
____________________
Mini-Camp Name:
____________________
Dates:
____________________
How did you hear of us? _______________________________________

WE WILL MAKE EVERY EFFORT TO ACCOMMODATE YOU, BUT WE CAN NOT GUARANTEE AVAILABILITY DUE TO THE SMALL SIZE OF THE CLASSES.

Payment Enclosed (If you are enrolling multiple children or are enrolling for more than one week, please call us first: $______________________

Form of Payment (circle one): Cash - Check - Credit Card

Credit Card #: ________________________________________ Exp:___________

CID #: ________________________ (For Visa, MC or Discover: the last three digits found on the signature panel on the back of your card. For Amex, it is the four digits found on the front of your card, to the right above the imprinted number)


This form must be signed to complete your registration. Check or credit card info may be mailed; cash must be dropped off. Full payment is due upon registration. If a camp is not available, of course, you will be issued a full refund.
If you cancel a registration, a $25 cancellation fee will apply. For more information regarding our policies please click here.

Please check here to indicate that you have read and understood our cancellation policy: ____ Yes

Signature:____________________________________ Date: ______________


Not Just Art
183 South Street
Oyster Bay, NY 11771
516-922-8300 (phone)
516-922-9417 (fax)