ALL FIRED UP!
 
Clay Camp 2008
Registration Form

Name: __________________________
Address: ________________________
City and zip: ______________________
Birth date: ______________ Age: _____
Phone: ___________________________
Emergency Contact (Name and Number):
________________________________

Camp Sessions
Check off all sessions that you want your child to attend:
____Session 1 - June 16 to June 20

____Session 2 - June 23 to June 27

____Session 3 - July 7 to July 11

____Session 4 - July 14 to July 18

____Session 5 - July 21 to July 25

You will be notified if the session you requested is full. Please
call with any questions. We look forward to making your camper's summer art camp experience fun and rewarding!

Payment Method:
Check (payable to All Fired Up)
Amount enclosed:______________
Visa, American Express
MasterCard, Discover
Card Number:___________________________
Expiration Date: ________________________
Name on Card:__________________________

I authorize my card to be charged in the amount of $______
as deposit for my child to attend Clay Camp at All Fired Up.
Signature: ________________________

Please Mail your registration and payment form to:
All Fired Up
229 W. Fairbanks Ave.
Winter Park, FL 32789
407 644-9363

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