Summer Art Camp Application Form

Medical Information
Does the camper have allergies including asthma?*
Please explain on the field provided including any food the camper is allergic to
Is the camper currently taking any medication? *
Please provide the details, the name of the medication and period of intake

Payment
Please note, spaces are limited and we cannot guarantee your registration unlesss payment is received.

Please call Paint Your Pot to make payment and confirm that registration is received. Thank you!

919-363-9333
Will you permit photos to be taken and used on Paint Your Pot's website and social media?

YesNo
How did you hear about our Camp?

Paint Your Pot WebsiteRecommended by a friend/family memberVisiting our studioOther
Should be Empty:

2025 Summer Camp Registration