Performing Arts Summer Camp Online Application
In Chicago

*All fields are required.*
Failure to complete form entirely will slow the admitting proccess.

 

*NOTICE: If you apply online, there are still several forms that you will need to print out and mail to us. 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 have them sent to you.

*Extra Forms to Download (PDF):
 

 

Confidential Evaluation • Elective Questionaire
 

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

State :

Zip Code:
Sex : Age :  
Present Grade Level : Date Of Birth :
Shirt Size :
   
Why do you want to be a part of this Summer Camp?
 
 
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 June 22). Make checks payable to : Youth With A Mission and mail to: Arts With A Mission Summer Camp • P.O. Box 268408 • Chicago, IL • 60626.

 

*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): Confidential Evaluation • Elective Questionaire
Acrobat Reader