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Youth Camp Registration 2019
Spring Vacation Camp, 2019
Celebrate the Arts! We need at least 6 kids to run each class/camp, so be sure to tell your friends!
Choose camps and classes
Enter the number of children you would like to attend each camp or class from the list below.
Which camp or class would you like to register for?
Join us for a week of adventure in the kitchen & clay studio with Chef Kate Halladay and Artist Lisa Wolfgang.
Name of Student
Birthday of Student
Parent or Guardian Name
Work or cell
Address Line 2
District of Columbia
Armed Forces Americas
Armed Forces Europe
Armed Forces Pacific
First Emergency Contact Name
First Emergency Contact Phone
Second Emergency Contact Name
Second Emergency Contact Phone
My child may go home with (in addition to guardians and emergency contacts)
List all names separated by commas.
By checking this box, I authorize River Arts to use the above named person’s image for River Arts related printed and digital materials, without limitation, as River Arts shall in their sole discretion determine. This authorization is without date restriction. River Arts agrees that this photograph will not be given or sold to any individual or organization and will only be used for River Arts promotional purposes.
By checking this box you are indicating your understanding that River Arts assumes no responsibility for any injury suffered by your child as a result of his/her participation in River Arts programming either on or off River Arts premises, and, that neither you nor your child, nor the heirs, administrators, executors, and assigns of either shall ever institute, or aid in the institution of any action at law or otherwise against River Arts on account of any injury to your child or his/her property resulting from his/her program participation, and/or you and your child, for your selves and your heirs, administrators, executors and assigns HEREBY RELEASE River Arts, its Board of Governors, Trustees, Officers, employees and agents from and against any and all claims for personal injuries to your child or loss of or damage to his/her property arising out of his/her activities as a River Arts program participant.
By checking this box, you are indicating your understanding that supervision is not provided outside of River Arts class/camp times. It is the Parent/Guardian's responsibility to pick up the student when the class has ended.
By checking this box, I authorize the staff of River Arts of Morrisville, Inc. to carry out standard first aid and CPR, including treatment of severe allergic reactions, and to arrange for emergency care for my minor child/ward at a local hospital, as the staff deems necessary. I authorize hospital personnel to provide emergency medical treatment for my child/ward.
Food or other allergies
Special dietary requirements
Other special needs
Do you give us permission to dispense medication that you provide?
Name of medication
Medication must be provided in its original packaging and include the prescribing physician's contact information.
Purpose of medication
Warning signs of condition
Possible reactions or side effects
How did you hear about the camp?
Email from River Arts
Checking the River Arts Website
How would you like to pay?
Credit card by phone
Online with paypal
Payment with a gift certificate
I would like to apply for financial assistance (see questions below)
FINANCIAL ASSISTANCE POLICY The mission at River Arts is "Arts for Everyone". Financial Assistance funds come from donations to River Arts through individuals, businesses and grants. These funds are limited, and we encourage families to pay what they can afford, so that we may serve as many people as possible. Tuition payments must cover at least 50% of the class fee.
Amount that you can pay $
Please read our financial assistance policy above.
In the following space please state briefly why you are applying for financial assistance.
It is important for us to know the circumstances under which you are applying for aid to help us determine eligibility. Thank you.
Annual Household Income
Number of Dependants in Household
Parent/Guardian Employer and Work Phone