We are so excited that you have chosen to join us for the Masterpiece Project in 2018! While we wish we could chat with you in person, we ask that you will fill out this form to let us know a little bit more about you. Also, if you have multiple students registering for camp from the same family, please fill out one form for each student.
If you have questions you would like answered before completing registration, please reach out to Sherrie Rogers via email at  gslrogers@gmail.com or by phone: 615.438.8217
Let's Get Started
 
Please provide your first name: *

 
And your last name? *

 
Do you have a nickname you often go by?

 
What’s your date of birth? *

 
What year of school will you be starting in the fall of 2018? *


 
What is the your street address? *

 
And the city? *

 
State? *

 
Zip Code? *

 
If you have a cell phone number, we’d love for you to share it with us:

 
Please share with us why you want to join us at camp this year:

 
Which session of camp would you like to register for? *


 
During our week at camp, each student is allowed to pick one studio from a set of studios across several artistic disciplines. So that we can have a better idea of your overall interests, we would like for you to choose two studios below that interest you most:


 
During our week at camp, each student is allowed to pick one studio from a set of studios across several artistic disciplines. So that we can have a better idea of your overall interests, we would like for you to choose two studios below that interest you most:


 
Please provide the first name of your mother or guardian:

 
And their last name?

 
What is her address (if different from your address)?

 
What is the best phone number to reach her?

 
Please provide the first name of your father or guardian:

 
And their last name?

 
What is his address (if different from your address)?

 
What is the best phone number to reach him?

 
Please provide the first name of an additional emergency contact:

 
And their last name?

 
What is the best phone number for them?

 
What is their relationship to you?

 
At Masterpiece, we take food very seriously! We love to create a welcoming community environment, and our time spent together eating delicious, nutritious, and hand-crafted cuisine is a major part of our camp experience. Please share with us any of food allergies or sensitivities you may have so that we can best serve you from our kitchen:

 
We also create a unique t-shirt for each camp year. Please provide us with your t-shirt size so we can prepare one for you:


 
We take a lot of pictures to remember our time together as well as to share them with others to promote our camp experience. We would like to ask if you are comfortable with us using your image for promotional purposes: *

I am comfortable with Masterpiece Ministries  using my image for promotional purposes.
     
 
Parent/Guardians, please read the following agreement: *

In submitting this application, we, the undersigned, agree to adhere to the policies of Masterpiece Ministries. We agree that Masterpiece Ministries reserves the right to send a student home at the parent’s expense without a refund of any kind in the event of non-compliance with these policies. We agree to take full responsibility for any property damage caused by this student. We agree that this student has permission to participate in all camp activities.
     
 
Students, please read the following agreement: *

In submitting this application, I, the undersigned, agree to adhere to the policies of Masterpiece Ministries. I agree that Masterpiece Ministries reserves the right to send a student home at the parent’s expense without a refund of any kind in the event of noncompliance with these policies. I or my family agrees to take full responsibility for any property damage I cause.
     
 
Because we don't want anyone to miss out on camp for financial reasons, we offer a range of scholarship options for students. Would you be interested in discussing this with our staff?

     
 
In order to be officially registered for camp, you must pay a $50.00 deposit. *

 
Please enter your Credit or Debit Card number: *

 
The CVC number: *

(3 or 4 digit security number on the back of your card)
 
The name on your card: *

 
Your card's expiry month: *


 
Your card's expiry year: *


Thank you so much for submitting your registration form for the Masterpiece Project 2018! 

We will be in touch soon.
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