2020 Summer Studio Registration

Alchemy Summer Studio

Please complete and submit the form below. We look forward to designing with you!

Note: “*” fields are required.

Camper's Name

First Name

Last Name

Date of Birth

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Camper's Email

Camper's Phone (optional)

(###)

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Grade

Most recent grade completed.

School (last attended)

Check the applicable boxes if "true."

My learner has an IEP

My learner qualifies for free or reduced lunch

Is there anything we should know about your child? (optional)

Guardian 1

First Name

Last Name

Guardian 1 Email

Guardian 1 Phone

(###)

###

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Guardian 2 (optional)

First Name

Last Name

Guardian 2 Email

Guardian 2 Phone

(###)

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