Summer Registration

Parent Name*

First Last

Child Name*

First Last

Phone*

Email*

Address*

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Emergency Contact Name*

First Last

Emergency Contact Phone*

Emergency Contact Email*

Are there any alergies, medical concerns, behavioral concerns, or other things the Studio @550 Summer Staff should know about?*

Yes
No

Please describe your child's medical conditions and other concerns here*

Product Name

Is this student a sibling of another student?*

Yes
No

Summer Arts Program

Session 1 July 3 - July 14
Session 1 (1 week) July 3 - July 7
Session 1 (1 week) July 10 - July 14
Session 2 July 17 - July 28
Session 2 (1 week) July 17 - July 21
Session 2 (1 week) July 24 - July28

Sibling Rates Summer Arts Program

Session 1 July 3 - July 14
Session 1 (1 week) July 3 - July 7
Session 1 (1 week) July 10 - July 14
Session 2 July 17 - July 28
Session 2 (1 week) July 17 - July 21
Session 2 (1 week) July 24 - July28

Total

$0.00

Payment Method*

Please mail your check (made payable to Studio at 550) to: Studio@550 550 Massachusetts Ave. Cambridge, MA 02139 Please remit payment before the start of your registered session.

Studio at 550

Multidisciplinary Artist Studio

Summer Arts Program Registration