Summer Registration

Fill out the form below completely to begin registration for the Summer Arts Workshop (Camps). Alternatively you can print a paper registration.

MaleFemale

Tuition

  • NJWA Morning Arts Camps 8:30-12:30
    • 3 Weeks: Early Registration Rate: $695 (+$30 registration fee)
    • 2 Weeks: Early Registration Rate: $590 (+$30 registration fee)
    • 1 Week: Early Registration Rate: $295 (+$30 registration fee)


  • Early Morning Drop-Off (7:30 am): $125/3 weeks OR $10/day

  • Afternoon Adventures at the Y (12:30-4:30 pm)
    • $TBA/3 weeks
    • $TBA/week
  • Extended care past 4:30 is available directly through the Y

The registration fee will be waived for current Music Studio students.

Early Morning Drop-off $125 3/weeksEarly Morning Drop-off $10/day billed later

Registering for all three weeks?
YesNo - Just 1 or two weeks

Are you a current student at the NJWA Music Studio?

NoYes

Does student have any allergies?
NoYes

Does student have a medical condition?
NoYes

Does student have asthma/wheezing?
NoYes

Has student had Chicken Pox?
NoYes

Does student have contact lenses?
NoYes

Does student have physical limitations?
NoYes

Are immunizations up to date?
NoYes

Please List any medications and reasons for taking:

Note: If a child is to be given medications during the Workshop, a Physician's note is required. All medications must be in the original container. No medications will be given without a Physician's note and the appropriate container.

Any additional medical notes:

Emergency Contact #1
Name
Phone:

Emergency Contact #2
Name
Phone:

Primary Physician (required)
Physician Name:
Physician Phone:

Dentist Contact (will use physician if blank)
Dentist Name:
Dentist Phone:

Preferred Hospital:

Medical Insurance:
Insurance ID/Group: