Class Registration Form

Art Day Camp Payment Information

Payment for Art Day Camp must be received with registration. Cost per camper is $120.
Registration is on a first come first served basis.
We will take away session options as the sessions fill up. However, if you submit a registration and payment before the option is taken away, you will receive a phone call and refund if another session time does not work out.
Partial financial assistance is available for children's classes. If requesting assistance Download an application for the Keller Memorial Fund here. You will need to mail or bring the application into the Hayner Center, 301 W. Main St., Troy, OH 45373.
If applying for assistance, you must pay at least $60 per child with this registration.
You will know you have successfully registered when you receive a Paypal receipt in your email.

Register for Art Day Camp

* Indicates required field

Student Name *

First

Last

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email address *

Phone Number & Parent or Guardian Name *

Emergency Phone Number *

Which class are you registering for? Please fill out a separate form for each child. *

Session 1: June 27 - 30; 1 to 4 pm ; ages 12 - 17 Session 2: July 11 - 14; 9 am to 12 pm; Ages 6-8 CAMP SESSION FULL Session 3: July 11 - 14; 1 to 4 pm Session 4: July 18 - 21; 9 am to 12 pm; Ages 6 - 8 Session 5: July 18 - 21; 1 to 4 pm; Ages 9 - 11

Child's Shirt Size (ie. Adult L, M, or S or Child's L, M, or S) *

Do we have permission to take photos of your child? The photo may be published on social media or used to promote the Troy-Hayner Cultural Center. *

Does your child have any allergies or medical conditions we should know about? *

Age of child *

Are you requesting financial assistance for this child? If, YES, you must fill out and submit a Keller Fund Application. See instructions above. *

PAYMENT INFORMATION

Enter name of cardholder below.
The Buy Now button will appear on the page after you submit this form.

Cardholder Name *

Fee To Be Paid Online *

SUBMIT REGISTRATION AND PAY HERE