Sign Up for Classes - Colquitt County Arts Center

Student Name^*

Age^*

Grade^*

School^*

Parent/Guardian^*

Mailing Address^*

Home/Cell Phone Number^*

Work Phone Number

Contact in Case of Emergency^*

Emergency Contact Phone Number^*

Special Medical Information/Allergies^*

Email^*

Live to Create 2021 Fine Arts Camp (Rising 3rd - 6th Grade)

Live to Create 2021 Fine Arts Camp (Additional Weeks)

Print and Design (August 2-6) ($ 75.00)

Select this option ONLY if you have attended the camp at least once in 2021 or if you are enrolling a second child.

Theater Camp (Rising 1st-Rising 10th Graders)

July 12-July 30 ($ 150.00)

Disorderly Conduct Policy
The Arts Center reserves the right to dismiss a student due to disorderly behavior. No refunds will be made if a student is dismissed for disciplinary reasons.

By signing this form as attending, I acknowledge that the Arts Center will not assume any responsibility for any injury incurred while participating in any program or event or liable for lost or stolen items while on the Arts Center's grounds. I also give permission that any photography or videography taken during the event, which may include a child, may be used for promotional purposes as deemed appropriate by the staff of The Colquitt County Arts Center.

Parent/Guardian Signature for Student^*

Initial^*

Date^*

* Only Paypal payments are accepted. Please make sure you have an account with an attached card before making a payment.

* Credit, Debit, Check and Cash payments can be made in the main office open M-F 10 am - 5:30 pm.

*Payments are non refundable. If there are extenuating circumstances please notify us.

Subscribe to Newsletter

Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. .rm_next_btn {display:none !important} .rm_noscript_btn {display: block !important}

Sign up for classes and workshops by downloading the pdf below. The form can be turned in at our office with payment at the Colquitt County Arts Center between 10 am – 5:30 pm Monday – Friday.

401 7th Avenue S.W.
Moultrie GA 31768.
229-985-1922

Class Registration Form

Share this: