Kid’s Art Camp Release Form hr Text Please list all registered children and their ages that will be attending this event. Email or call us us if you are registering us for more than 3 children. First Name Last Name Age First Name Last Name Age First Name Last Name Age hr Parent/Guardian Name of Parent/Guardian: First Name Last Name Address 1 Address 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Phone Email hr Text Name & Emergency Contact Info of Parent/Guardian during these event dates and times: First Name Last Name Phone Relationship to child Textbox hr Text Does your child have any allergies to art materials or foods? Yes No If yes, please explain hr Text Our young artist is expected to conduct himself or herself in a manner that maintains a safe, creative atmosphere while showing respect for others and their and other's work. Any actions or attitudes inconsistent with these guidelines will result in that artist's parent or guardian being called to discuss the situation and the possibility of the child being asked to be picked up by this parent or guardian. Do you understand this? Yes Text All students are requested to bring their own lunch and snacks. Water will be provided. This event will be held in the Art Store's studio at 537 6th St., suite E & F. The Art Store's Kid's Art Camp hours are from 10am to 4pm. Failure to pick up your child by 4:15pm will result in a charge of $1.00 per minute(emergencies excluded). By checking the box below I understand I am agreeing to allowing my child or their artwork to be photographed to be used in future promotional materials for the art Store. This is not optional to attend this event. hr Text By checking the box below as well issuing payment for this event, the parent/guardian of the attending child is agreeing to hold the Prescott Art Store, their staff and their instructors and volunteers, harmless against any injury that may occur on and/or off the premises. Checkbox Text If you are a human seeing this field, please leave it empty. hr Text Please list all registered children and their ages that will be attending this event. Email or call us us if you are registering us for more than 3 children. First Name Last Name Age First Name Last Name Age First Name Last Name Age hr Parent/Guardian Name of Parent/Guardian: First Name Last Name Address 1 Address 2 City State Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming Zip / Post Code Phone Email hr Text Name & Emergency Contact Info of Parent/Guardian during these event dates and times: First Name Last Name Phone Relationship to child Textbox hr Text Does your child have any allergies to art materials or foods? Yes No If yes, please explain hr Text Our young artist is expected to conduct himself or herself in a manner that maintains a safe, creative atmosphere while showing respect for others and their and other's work. Any actions or attitudes inconsistent with these guidelines will result in that artist's parent or guardian being called to discuss the situation and the possibility of the child being asked to be picked up by this parent or guardian. Do you understand this? Yes Text All students are requested to bring their own lunch and snacks. Water will be provided. This event will be held in the Art Store's studio at 537 6th St., suite E & F. The Art Store's Kid's Art Camp hours are from 10am to 4pm. Failure to pick up your child by 4:15pm will result in a charge of $1.00 per minute(emergencies excluded). By checking the box below I understand I am agreeing to allowing my child or their artwork to be photographed to be used in future promotional materials for the art Store. This is not optional to attend this event. hr Text By checking the box below as well issuing payment for this event, the parent/guardian of the attending child is agreeing to hold the Prescott Art Store, their staff and their instructors and volunteers, harmless against any injury that may occur on and/or off the premises. Checkbox Text If you are a human seeing this field, please leave it empty.
