Welcome to Art Camp  for Kids Session ______

Child Information

  • Child's Name:

  • Age:

  • Grade Level (optional):

  • Parent Contact Name:

  • Parent Contact Phone Number:

  • Emergency Non-Parent Contact Name

  • Emergency Non-Parent Contact Number

Permission and Release

  • I, parent/guardian of the above child, grant permission for my child to participate in all Art Camp activities. I understand that there are inherent risks involved in art activities, and I hold the camp harmless for any injuries sustained by my child unless due to negligence.

  • In the case of an emergency and I cannot be reached, I authorize the camp staff to seek necessary medical attention for my child.

Signature: Parent/Guardian Signature:

                                                                                          Date:

  • Does your child have any allergies? (Yes/No)

    • If yes, please list:

  • Does your child have any medical/social conditions we should be aware of? (Yes/No)

    • If yes, please explain:

Photo/Video Release

  • I grant permission for photographs/videos of my child to be used for camp promotional materials (website, brochure, social media). (Yes/No)