Register for ART-is-IN

The ART-is-IN Performing Arts Daycamp is $50 per student. 

After your registration is received by the Stevendale Baptist Church secretary, you will receive an email with your next step and payment information. Make checks payable to Stevendale Baptist Church, and write ART-is-IN in the memo.

(Make sure not to leave anything blank or the form will not go through, if you do not have an answer, just write "none.")

Child's Name:
Grade Completed Spring 2014	Kindergarten 1st Grade 2nd Grade 3rd Grade 4th Grade 5th Grade
Street Address
Zip Code
Child's Gender	Male Female
Child's Birthdate
Home Phone Number
Cell Phone Number
Parent or Guardian's Name
Emergency Contact
Emergency Contact Phone Number
Persons Authorized to Pick up Child (IDs will be checked)
I give permission to give Tylenol if necessary.	Yes No
List any food allergies.
Comments, Disabilities, Medical Issues, Etc.
T-Shirt Size	Youth Small Youth Medium Youth Large Adult Small Adult Medium Adult Large Adult Extra Large
Parent's Email Address:

Put a website form like this on your site.

If you are having trouble with this form, you can send us an email at stevendalebc@gmail.com.