Milton Summer Arts Camp

Milton Arts Council Camp Registration

MAC Summer Arts Camp
Our camp will be held over 2 weeks this summer. Session 1 will be June 6-10 for 8-10 year olds. Session 2 will be June 13-17 for 11-12 year olds. Both camps will run M-F 9am-1pm. Students should bring a bag lunch and water bottle and will have a 20-30 min break for lunch.
Parent Name *

First Name Last Name
Cell Number *
Parent Email *
example@example.com
Confirm Email *
example@example.com
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Student Information
Student Name *

First Name Last Name
Student Grade *
Student Age *
Student Birthday *

Month Day Year
Date
Student Gender *
What school does your child attend? *
T-Shirt Size *
Please list any health/medical/allergy needs that we should be aware of. *
Please let us know of any additional information that may be helpful to us in teaching your child (learning style, reaction to new or stressful situations, etc).
Waivers

Acceptance of waivers is required for enrollment.
Release of Liability
As the legal parent or guardian, I release and hold harmless Milton Arts Council, MAC, and its operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of MAC.

Medical Emergency
The undersigned gives permission to Milton Arts Council, its owners and operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. I hereby declare any physical/mental problems, restictions, or condition and/or declare the paricipant to be in good physical and mental health. I request that our doctor/physician ________________ be called and that my child be transported to ______________________ hospital. Please include physician's information in medical info box above.

Media Release
In exchange for the opportunity (but not the guaranty) to participate or appear in the above-identified Program, I hereby irrevocably grant and assign to Milton Arts Council (MAC) the right to use my “Likeness” (excluding my name or personal information), in any media in connection with or for the promotion of this Program

This grant and assignment includes, but not limited to, the right of MAC to capture, record, use, reproduce, exhibit, edit, project, display, copyright, publish, release, my Likeness (in whole or in part) through photographic images, moving pictures, videotaped images, sound recordings and any other types of media, from and after today’s date, for any lawful program, production or use authorized by MAC, including but not limited to educational, programming, publicity and promotional purposes. I agree that MAC may use my Likeness for any period of time that MAC, in its sole discretion, finds reasonably necessary; and that I shall not receive any compensation for my participation in the above-identified Program or for MAC use of my Likeness.

I agree that my participation in the Program confers upon me no rights to the use or ownership of or copyright interest in my Likeness as captured or used by or for MAC in connection with the Program. I release MAC, its employees,
agents and assigns from all liability that may arise from any claims by me and/or any third parties in connection with my participation in the Program or use of my Likeness.
Waiver

I agree to the above terms.
Name

First Name Last Name
Signature
Which camp are you registering for? *

Session 1 - June 6-10 (8-10 year olds) - $250.00 Session 2 - June 13-17 (11-12 year olds) - $250.00
Registration Total
Payment
Total *

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Milton Arts Council Camp Registration

Our camp will be held over 2 weeks this summer. Session 1 will be June 6-10 for 8-10 year olds. Session 2 will be June 13-17 for 11-12 year olds. Both camps will run M-F 9am-1pm. Students should bring a bag lunch and water bottle and will have a 20-30 min break for lunch.

Student Information

Waivers

Payment