Faculty

Click on instructor’s name to go to their personal pages

Student's Name *

Birth Date *

Age *

Gender *

Female
Male
Prefer not to disclose

Does the student have any allergies, medical concerns, or behavioural concerns? If yes, please describe:

Address *

City *

Postal Code

Phone *

Alternate Phone

Email *

Please add me to VAM's mailing list!

Emergency Contact Name *

Emergency Contact Relationship to Student *

Emergency Phone *

Emergency Alternate Phone

PICK-UP PERMISSIONS - Anyone other than the parent or legal guardian who is authorized to sign your child out. Photo ID must be produced daily. We cannot release campers to anyone not listed on the registration form. Alternate arrangements during camp must be made in advance.

FRIENDS/SIBLINGS - If you would like your child to be in a class with a friend or friends, list their names below. Please be aware that VAM arranges the classes by age. Any group of friends or request to have siblings together will be placed according to the age of the youngest child in the group.

I CONFIRM THAT I HAVE READ AND AGREE WITH THE POLICIES AND INFORMATION LISTED IN THE COURSE DESCRIPTION *

Please sign your Name *

Date *

Faculty

Carey Alvez

Shahrzad Amin

TJ Banate

Zan Barrage

Bhavna Bhatnagar

Aankshika Bheem

Alethia Caraccioli

Scott Cooper

Jacqueline Crawley

Cathy Disbrow

Fausta Facciponte

Nancy Falconi

Carla Gonzalez

Kal Honey

Susan Ksiezopolski

Mary Ma

Minoya Magendrathajan

Tyler Matheson

Sima Naseem

Sam Paonessa

Cora Paiero

Marlon Porter

Matthew Salisbury

Stephanie Schirm

Veronica Spiljak

Bonnie Steinberg

Gillian Sych

Ray Vidal

Joyce Wang

Funders and Sponsors