WC FAC 2010 Registration Form

Please complete a registration form and medical form for each student,
mail with a check to:
West Catholic Fine Arts Camp 1801 Bristol Avenue NW Grand Rapids, MI 49504
(Early bird registration is $35.00. Registration received after May 31 is $40.00)

Name of Student ________________________________________ Grade Entering _________
Address __________________________________________ Grade School ________________
_________________________________________________ Phone Number _______________

Please clearly number you class choices 1 – 5 in the boxes below, 1 being your first choice.

___ Art Exploration ___ Chorus ___ Intro to Band

___ Graphic Design ___ Creative Writing ___ Cartooning

___ Drama 1 ___ Advanced Drama ___ Drawing ___ Dance

T shirt size, please circle one of the following:
(only early bird registrations are guaranteed a Tshirt)

YOUTH MEDIUM

YOUTH LARGE

ADULT SMALL

ADULT LARGE

WC Fine Arts Camp Medical Form

Name of Student _____________________________________________________________

1st Emergency Contact Person

Name ____________________________ Phone _______________ Cell ________________

2nd Emergency Contact Person

Name ____________________________ Phone _______________ Cell ________________

Please list below any medical information that we may need to know
including medications, allergies, illnesses and/or conditions.

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