Painting   I   Water Color   I   Pottery

• Session I, June 11-15 Mon-Fri, 1-4pm
• Session II, June 18-22 Mon-Fri, 1-4pm
• Session III, July 16-20 Mon-Fri, 1-4pm
• Session IV, July 23-27 Mon-Fri, 1-4pm
• Session V, August 6-10 Mon-Fri, 1-4pm
• Session VI, August 13-17 Mon-Fri, 1-4pm

• Class min: 10 students
• Class max: 20 students
• Art Camps (Painting & Pottery) with Madeleine Walton & Zhen Wu
• Additional Sessions can be arranged with advance notice (minimum 8 students group)

Tuition per Session: $375 (all materials are included)

Please fill out all applicable information. To complete registration, camp tuition payment is required. You will be directed to our secure PayPal payment site after you complete the form. Art Camps are subject to cancellation based on low enrollment. All programs are non-refundable unless canceled due to low enrollment.

Our Address: Zhen Music and Arts Institute, 4901 W. Lovers Ln., Dallas, TX 75209

Summer Camp 2021

Please choose session(s): *

Session II, June 21-25 Mon-Fri, 1-4pm

Session III, July 12-16 Mon-Fri, 1-4pm

Session IV, July 19-23 Mon-Fri, 1-4pm

Session V, August 2-6 Mon-Fri, 1-4pm

Name of Participant: *

Age *

Gender: *

Male

Female

Birthdate *

Parent/Guardian: *

Address *

Address

Address

Address

City

City

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Phone Number *

Email Address: *

Emergency Contact Name/Phone: *

Person authorized to pick up child beside parents: *

PHOTO CONSENT *

YES, I AGREE TO ALLOW ZHEN MUSIC AND ARTS INSTITUTE TO USE IMAGES AND LIKENESSES OF MY CHILD IN THE PROMOTIONAL MATERIALS, WEBSITE, AND SOCIAL MEDIA OF THE SCHOOL.

NO, I DO NOT AGREE TO ALLOW ZHEN MUSIC AND ARTS INSTITUTE TO USE IMAGES AND LIKENESSES OF MY CHILD IN THE PROMOTIONAL MATERIALS, WEBSITE, AND SOCIAL MEDIA OF THE SCHOOL.

Waiver/release: “I hereby covenant and contract to release and indemnify, and hold harmless Zhen Music and Arts Institute, as well as its employees from and all claims of whatsoever nature or type resulting from any act of commission, or negligence of Zhen Music and Arts Institute from activities under or related to the enrollment of my child for which a claim demand, suit, or other action may be made by any person or other entity against Zhen Music and Arts Institute.” *

I agree

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Electronic Signature: *

Date *

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