Summer Camps application

Please complete the form below to register for summer camps.

Safety is our top priority. I promise to do everything in my capacity to ensure your child’s safety.
Name *
Home Address *
Home Address
Parent Cell Phone *
Parent Cell Phone
Home Phone
Home Phone
Previous Art Classes? *
By typing my name below I authorize my child to participate in the Lighthouse Summer camp program. I give permission for my child to go on field trips with the Art School. I release Mrs. E. Blomerus and the Lighthouse Art School or its agents of any damage or loss that my child may suffer during this time.