StillyArts LLC

Camp enrollment

Name of the Student *

Age of the student *

School currently enrolled *

Name of the Guardian *

Primary contact number *

Emergency contact number *

E-mail *

Address

Choose duration *

Half Day

Full Day

Choose dates *

12th August, week 11

19th August, week 12

I have read and agree to terms and conditions. *

Yes

The terms and conditions are at https://stillyarts.com/terms

Comments

Name of the Sibling/s (age)

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