Imagine That Summer 2014Registration Form
Full Name of Child:___________________________________________ Age:______________
Preferred name: _____________________Name Of
Parent/Guardian:_______________________
E-mail:____________________ Home Phone:_______________Cell
Phone:__________________
Address: ____________________________________________________________________
City _________________________ Zip_____________________
Does your child require any special accommodation to have fun with us?
Does your child have any allergies or concerns we need to know about?
Kosher snacks? Yes _____
Session
# of
weeks
One Day
No________
Dates
June 6th
A
1
6/9/14 – 6/13/14
B
2
C
1
6/16/14 - 6/27/14
6/30/14 - 7/3/14
(no camp July 4)
D
2
7/7/14 – 7/18/14
E
1
7/21/14 – 7/25/14
F
2
7/28/14 - 8/8/14
G
1
8/11/13 - 8/15/14
Camp
10am -3pm
Early Session
8:30am-10am
After Session
3pm – 5:30pm
If you do not require the full two week Early session or After Session, you may register by the
week or day.
Please Remember: Final art work will be ready 14 days after the last camp day. Art work will be
held for 6 weeks from the last day of your child’s camp session. (Most of it is ready before then
– but the clay takes a long time to dry before firing) Imagine That Creations is not responsible
for items not completed or picked up after that date. If this is a problem, because you will be
away, talk to us about special arrangements.
Please wear Art Clothes! Glitter glue and acrylic paint do not come off clothes.
Child’s Name:_____________________________________________
Cost:
If its
Your First Session
If its
your 2nd week or more
Your Cost:
One Day (June 6)
$42
Not applicable
___________
Session A
$ 208
Not applicable
Session B
$ 398
$ 383
___________
Session C
$ 167
$ 160
___________
Session D
$ 398
$ 383
___________
Session E
$ 208
$ 201
___________
Session F
$398
$ 383
___________
Session G
$ 208
$ 201
___________
Total for 10am -3pm sessions
___________
$__________
Early Session $25 per week X ______(number of weeks) = $________
After Session $40 per week X _____(number of weeks) = $________
Early & After Session $55 per week X ______(number of weeks)= $________
Sub-Total = $________
If this is a second or third sibling, deduct 10% = $________
TOTAL
You may pay in full or make a $75 per child deposit.
$______________
= $________
Amount Enclosed:
Please Make Check Payable to “Imagine That Creations”
Drop-off at the studio – 1501 Boca Raton Blvd., Boca Raton, FL
OR Mail to:
Imagine That
615 NW 12th Terrace
Boca Raton, FL 33486
PLEASE BE SURE TO SIGN AND INCLUDE INFORMATION/POLICY/WAIVER FORM
Questions? Call us 561-206-6181.
Thank you so much for joining us at Imagine That Creations!
Imagine That Creations, Inc.
INFORMATION / WAIVER – 2014
• Art materials can be messy and stain. Glitter glue and acrylic paints do not wash out. Smocks do not
cover sleeves and children do not like to wear them for extended periods. Participants should wear
clothing appropriate for messy art.
• Cell phones are to be kept in lunch boxes or back packs and not to be used during camp time. This
prevents the phones from “Art/water accidents” and keeps the focus on camp activities.
• Tuition includes supplies, snack and use of equipment.
• Early session drop off is 8:30 and any time after; General session morning drop-off is 9:45 – 10:00 am
and pick up is 3:00 pm -3:15 pm. After Session Pick-up is 5:30-5:45. If you arrive after the pick-up time
you will be charged $10 (cost of after session for the day).
• $75 deposit is required at the time of registration.
• Participants bring a lunch and beverages daily.
• Please write your child's name on lunches and all belongings. Please do not bring money or valuables.
• Classes are filled on a first come, first-served basis.
• Participants who cancel five (5) days before their first scheduled day of camp will receive a deposit
refund minus $10.
• Participants who cancel any session less than five (5) days prior to the first day of class will forfeit $40
per child deposit. If a class is canceled, due to weather or other emergency, tuition will be refunded within
three (3) weeks.
• There is no deposit refund after the beginning of the first day of the session.
• No fees will be returned for failure to attend. There will be no make-up classes due to a student's illness,
unanticipated travel or other reasons not the responsibility of Imagine That Creations, Inc.
• Imagine That Creations, Inc., reserves the right to substitute instructors due to any emergency or illness.
• Imagine That Creations, Inc. is not responsible for any artwork or personal items lost, stolen or left in the
studio or cubbies.
• Full payment is required on the first day of the session.
• There is a $35 charge for all returned checks.
• All art work/projects must be picked up within 6 weeks of the last day your child attends camp.
Imagine That Creations, Inc., is not responsible for anything left after that time.
WAIVER
• I hereby waive and release any and all rights and claims to damages against Imagine That Creations,
Inc. I accept all risk incidentals and do hereby release Imagine That Creations, Inc., its employees and
representatives, for all liability and injury during any activities. I further agree that in the event medical
attention is required due to an accident or illness, and my contact person is unreachable, the Imagine
That Creations, Inc., shall be permitted to seek such medical services, as it shall deem necessary and
appropriate through EMS/911 and/or local hospitals.
• I grant full permission to the Imagine That Creations, Inc., to use photographs, videotapes, and any
other record of classes or programs for any legitimate purpose.
• Imagine That follows the Palm Beach County School District's schedule for inclement weather.
• Participants and parents must respect the rights of other participants and staff or they will be asked to
leave the program and forfeit tuition.
Childs Name:__________________________________________________________________________
Parents Name (Print):____________________________________________________________________
Parents Signature:_________________________________________Date:___________________________