Summer Art Camp Registration

STUDENT INFORMATION
Need to register more than one child? Ove you complete this registration form you will be able to enroll another child easily- your contact information will be copies into a new form for your convenience!
Child's Name*

First NameLast Name
Child's Age*
Are there any medical conditions to which we should be alerted?*
Does your child have allergies (list)*
Which time bracket will your child be attending?*

Ages 5-8: 1:00 - 2:00pm - Wild About ArtAges 9-12: 2:30-3:30pm - Wild About ArtAges 13 and up: 4pm-5pm - Printmaking 101

Please select the day(s) of camp your child will be attending: PLEASE NOTE, projects depicted are for illustration purposes only and will vary slightly from the images below.*

Tuesday, July 28

$10.00 Quantity

Wednesday, July 29

$10.00 Quantity

Thursday, July 30

$10.00 Quantity

Friday, July 31

$10.00 Quantity

Tuesday, August 4

$10.00 Quantity

Wednesday, August 5

$10.00 Quantity

Thursday, August 6

$10.00 Quantity

Friday, August 7

$10.00 Quantity

Supply Fee

$15.00 Quantity

Enter coupon

Total

$0.00

Payment Methods

Credit Card

Apple Pay

Google Pay

ACH Bank Transfer

PARENT/GUARDIAN INFORMATION
Primary Contact*

First NameLast Name
Email*
example@example.com
Primary Phone*
Please enter a valid phone number.
Secondary Contact*

First NameLast Name
Secondary Phone*
Please enter a valid phone number.
I give permission for the following individuals to pick up my child: *
Please type the first and last names of permitted individuals.

WAIVERS
PERMISSION TO TREAT: I authorize the RRVM to administer reasonable first aid and/or obtain whatever medical treatment they deem necessary for the welfare of my child/ward.
PERMISSION TO TREAT OPTION:*

YESNO
PHOTO IMAGE WAIVER: I grant permission to RRVM to use photo or video images of my child as part of RRVM’s public marketing campaigns, including print media, broadcast media and RRVM’s website. I understand that although my child’s photograph may be used for advertising, his or her identity will not be disclosed, I do not expect compensation and that all photos are the property of RRVM.
PHOTO WAIVER:*

YESNO
ACKNOWLEDGMENT OF RISK AND WAIVER OF LIABILITY:

I hereby consent to the aforementioned person participating in the Red River Valley Museum's(RRVM) Art Summer Camp program. I understand that it is the express intent of the RRVM to provide for the safety and protection of my child and in consideration for allowing my child to use RRVM facilities and equipment, I hereby forever release the RRVM, its instructors, officers, employees, and volunteers from all liability for any and all damages and injuries suffered by my child while under the instruction, supervision, or control of the released parties. I hereby expressly and unconditionally assume all risks and dangers known or unknown, foreseen or unforeseen, and relating or incidental to my child’s involvement in RRVM Art Summer Camp program and any activity associated therewith. As legal guardian of the aforementioned person, I hereby release, forever discharge and holds harmless the released parties from and against any and all claims, damages, liabilities, costs, and expenses, including, but not limited to, illness, death, disease, COVID-19, bodily injury, or property damage of any kind or nature (collectively, the “losses”), arising out of or relating to my child’s involvement participating in the RRVM's Art Summer Camp program and all activities associated therewith, including losses caused by the negligence, or alleged negligence, of the release parties. Furthermore, I agree to individually provide for the possible future medical expenses which may be incurred by my child as a result of any injury sustained while under the care of the released parties.
Signature*

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STUDENT INFORMATION

Payment Methods

PARENT/GUARDIAN INFORMATION

WAIVERS