ART CAMP JUNE 16 - 18 2026 - Leroy Community Library

First Name (required)

Last Name (required)

E -Mail (required)

Phone (required)

Age (select one) (required)

Will you be dropping off your child (children may be dropped off at 8:50 and picked up at 11:30? (required)

Yes

No

Unsure

Who do you authorize to pick up your child? List all that have permission to pick up your child (please note - we will require a photo id) (required)

Emergency Contact: In case of emergency, who should we contact (please include phone numbers) (required)

Lunch is provided. Does your child have any dietary restrictions or food allergies? Please list. (required)

Is there anything else we should know (ex. bee sting allergies, etc) (required)