Winking Moon Application for all camps and Classes
Winking Moon
Art Adventures
Application Form
Parents ____________________________________________________________
Student _______________________Birth date_______________Age___________
Sibling Name(s)______________________________________________________
___________________________________________________________________
Address_______________________________________________________________________________________________________________________________
Phone numbers: Home: ___________________ Cell:_______________________
Email address_______________________________________________________
Which is the best way to reach you?_____________________________________
Emergency contact person_____________________________________________
Phone number_________________________________________________
Doctor’s name and number____________________________________________
Session and class(es) you are interested in:
To hold a place in one of the camps:
Please submit this application and include:
Summer Camps: Full payment $450 Sewing Camp, $425 for the rest of the camps
I have a Day off From School Camps - Full payment - $75 per day, per child
Handmade Holiday Workshops - Full payment - $300 per child.
Please make checks payable to Debra Wuliger. My Venmo address is: @Debra-Wuliger
Please understand that until I have received both the application and payment your child is not registered.
If you have to cancel a camp:
I will immediately put out an email that a spot has opened up.
I will refund the Summer Camp payment or the full tuition for the I have a Day off From School Camps or Handmade Holiday Workshops- minus a $15.00 processing fee- if I can find someone to take your child's place.
Summer cancellations are difficult to fill because most families have already made their summer camp plans.
If Winking Moon has to cancel a class or camp, the full tuition will be refunded in the form of a check or by Venmo.
Signature_____________________________________________________________________ Date______________________________________________
Art Adventures
Application Form
Parents ____________________________________________________________
Student _______________________Birth date_______________Age___________
Sibling Name(s)______________________________________________________
___________________________________________________________________
Address_______________________________________________________________________________________________________________________________
Phone numbers: Home: ___________________ Cell:_______________________
Email address_______________________________________________________
Which is the best way to reach you?_____________________________________
Emergency contact person_____________________________________________
Phone number_________________________________________________
Doctor’s name and number____________________________________________
Session and class(es) you are interested in:
To hold a place in one of the camps:
Please submit this application and include:
Summer Camps: Full payment $450 Sewing Camp, $425 for the rest of the camps
I have a Day off From School Camps - Full payment - $75 per day, per child
Handmade Holiday Workshops - Full payment - $300 per child.
Please make checks payable to Debra Wuliger. My Venmo address is: @Debra-Wuliger
Please understand that until I have received both the application and payment your child is not registered.
If you have to cancel a camp:
I will immediately put out an email that a spot has opened up.
I will refund the Summer Camp payment or the full tuition for the I have a Day off From School Camps or Handmade Holiday Workshops- minus a $15.00 processing fee- if I can find someone to take your child's place.
Summer cancellations are difficult to fill because most families have already made their summer camp plans.
If Winking Moon has to cancel a class or camp, the full tuition will be refunded in the form of a check or by Venmo.
Signature_____________________________________________________________________ Date______________________________________________
