Arts With A Mission Camp Online Registration

*All fields are required.*

Failure to complete form entirely will slow the admitting process.
 
*NOTICE: If you apply online, there are still several forms that you will need to print out and mail to us along with your registration fee of $20 ($30 after our May 31st early bird deadline).
 
*Your spot in the camp will not be secured until we receive your application AND registration fee.
 
You will find links to download these forms below. If you do not have printing capabilities, e-mail us with your name, address, and a brief description to let us know that you need the extra forms, and we will mail them to you.

*Extra Forms to Download (PDF):
 

 

Summer Camp Application with additional required forms.
 

Name :
Parents Names :
Email Address:  (required)
Phone Number:
Address :
City :

State :

Zip Code:
Sex : Age :  
Present Grade Level : Date Of Birth :
Shirt Size :
   
Please consider my application for the ARTrageous Intensive
(ages 13-19 only)
 

  Reference Information
  This information will be used to send the form to your reference, in order to complete the application. Please fill out completely, failure to do so will prolong the application process.
Name :
Email Address:  
Phone Number:
Address :
City :

State :

Zip Code:
 
Emergency Contact Information
Name :  Phone :
Relationship to Participant :


Yes, I would like to serve as a chaperone for the ministry trip

Yes, if needed, I would be able to use my own vehicle to assist in transportation for the ministry trip participations.


*Note: There is a $20.00 non-refundable early registration fee ($30.00 after May 31). Make checks payable to : Youth With A Mission and mail to: Arts With A Mission Summer Camp • P.O. Box 132855 •  Tyler, TX • 75713-2855

 

*IMPORTANT: Space for each age group is limited, so applications and registration fees must be turned in as soon as possible!


   
*Extra Forms to Download (PDF): Summer Camp Application with additional required forms.

Acrobat Reader