2008 Summer Art Camp Registration Form
One form per child • Secure Online Order Form

Child & Parent/Guardian(s) Information

Child's Name:
Parent/Guardian Name(s):
Street Address 1:
 City:
Street Address 2:
 State:
 Zip:
Home Phone:
 Work Phone:
Cell Phone:
  

Emergency Contact Information

Name:
 Phone:
Alternate Phone:
  
Select Session(s) : Prices (Members/Non-Members):
Session 1: Artist’s Tool Box, June 23 – July 3, 2008 (No camp Friday, July 4).........................................$450/$500
Session 2: Mixed-Media Madness, July 7 – 18, 2008....................................................................................$500/$550
Session 3: Animal Tales, July 21 – August 1, 2008.....................................................................................$500/$550
Session 4: Passion for Abstraction, August 4 – 15, 2008...........................................................................$500/$550
Tuition:
Payment in full must accompany registration unless applying for a Red Apple Fund Summer Art Camp Grant.  For more information about the Red Apple Fund, click here.

Are you a Museum Member? Yes No
If yes, please fill in your Membership Number
If no, would you like to join as a Museum Member today? Yes No

Membership fee:
Individual $50
Household $70
Friend $100
Associate $250
Patron $500
Benefactor $1,000
John Sloan Society $1,500
Bancroft Society $2,500
Howard Pyle Society $5,000
Membership:
TOTAL PAYMENT:
I hereby authorize the Delaware Art Museum to charge the Total amount entered above to the credit card indicated below:
Card type:
 Name as it appears on Credit Card:

Account Number:

Expiration Date:
The Delaware Art Museum reserves the right to change, withdraw, or modify course of instruction at any time. The Museum also reserves the right to withdraw any student whose conduct is deemed detrimental. The Museum’s staff or Board of Trustees cannot be held liable for personal injury or loss, theft, or damage of personal property. Submission of the registration form implies understanding of all policies noted in this publication. Submission also grants the Delaware Art Museum permission to use photographs taken at the Museum for educational or promotional purposes.
     
 
Delaware Art Museum
2301 Kentmere Parkway | Wilmington, Delaware 19806
302.571.9590 | 302.571.0220 (fax)
www.delart.org