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Registration Date: February 8, 2023 

 

 

TUITION POLICY

Session One tuition payments are due by July 2nd. Session Two tuition payments are due by July 16th. All tuition payments must be paid in full by the due date. Late tuition payments will negatively affect your daughter/son's opportunity to participate in camp session. Payment can be made via zelle to ntrinsikmovement@gmail.com or cashapp to $NtrinsikMovement

 

NO REFUNDS 

Tuition and Registration Fee are non refundable. 

 

I hereby understand and agree to the no refund policy:

I Agree
 

 

First Participant's Name

First Name*

Last Name*

Phone*
First Participant's Date of Birth*
I certify that I am 18 years of age or older
First Participant's Signature*
Second Participant's Name

First Name*

Last Name*
Second Participant's Date of Birth*
Third Participant's Name

First Name*

Last Name*
Third Participant's Date of Birth*
Fourth Participant's Name

First Name*

Last Name*
Fourth Participant's Date of Birth*
Fifth Participant's Name

First Name*

Last Name*
Fifth Participant's Date of Birth*
Sixth Participant's Name

First Name*

Last Name*
Sixth Participant's Date of Birth*
Seventh Participant's Name

First Name*

Last Name*
Seventh Participant's Date of Birth*
Eighth Participant's Name

First Name*

Last Name*
Eighth Participant's Date of Birth*
Ninth Participant's Name

First Name*

Last Name*
Ninth Participant's Date of Birth*
Tenth Participant's Name

First Name*

Last Name*
Tenth Participant's Date of Birth*
Participant's Address
Address Line 1:*
Street address, P.O. box, company name, c/o
Address Line 2:
Apartment, suite, unit, building, floor, etc.
Country:*
City:*
State/Province:*
Zip/Postal:*
Parent or Guardian's Email Address

Email*

Confirm Email*
Check to receive information, news, and discounts by e-mail.
Emergency Contact

Emergency Contact's Name*

Emergency Contact's Phone Number*
Select Session

Each session is two weeks long.

Session 1 (ONLY)
July 5th-16th, 2021
Session 2 (ONLY)
July 19th-30th, 2021
Session 1 & 2
July 5th-16th, 2021 + July 19th-30th, 2021
Camp Shirt Size

All campers at Ntrinsik Studios must purchase a camp shirt. Please fill in campers shirt size below. 

Please fill in all sizing information below:


T-Shirt Size *

If registering more than 1 child please specify each child and their shirt size below:

If you would like to purchase an extra camp shirt, in addition to the one included with your tuition package, please let us know. Additional camp shirts require an extra fee. 

List any allergies or medical conditions
Parent(s) or court-appointed legal guardian(s) must sign for any participating minor (those under 18 years of age) and agree that they and the minor are subject to all the terms of this document, as set forth above.


By signing below the parent or court-appointed legal guardian agrees that they are also subject to all the terms of this document, as set forth above.
Parent or Guardian's Name

First Name*

Last Name*

Phone*
Parent or Guardian's Date of Birth*
I certify that I am 18 years of age or older
Parent or Guardian's Signature*
Electronic Signature Consent*
 By checking here, you are consenting to the use of your electronic signature in lieu of an original signature on paper. You have the right to request that you sign a paper copy instead. By checking here, you are waiving that right. After consent, you may, upon written request to us, obtain a paper copy of an electronic record. No fee will be charged for such copy and no special hardware or software is required to view it. Your agreement to use an electronic signature with us for any documents will continue until such time as you notify us in writing that you no longer wish to use an electronic signature. There is no penalty for withdrawing your consent. You should always make sure that we have a current email address in order to contact you regarding any changes, if necessary.


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