2023 Camp Registration Form

1
Camper Information* This field is required.
Full name
Fall Grade Level
Date of Birth
2
Which Camps would you like to register for?Select any camps you'd like to sign up for. If you don't see a camp available to select, that indicates it has reached capacity for sign-ups.
Lil' Explorers (4 to Pre-K 5)
Adventurers in Art (Post-K 5 to 7)
Cryptic Cartographers (Post-K 5 to 7)
Treasure Hunters Through Time (8-10)
Cinematic Swashbucklers: Adventure Movie Camp (8-10)
3
Parent/ Guardian Info* This field is required.
Full Name
Address
City
Best Contact Number
Email
Yes
No
Museum Member?
4
Backup Contact* This field is required.
Full Name
Relationship
Best Contact Number
5
Alternative Pickup/Dropoff ContactsPlease list any other contacts permitted to dropoff or pickup your child. Include their full name, relationship, and contact phone number.
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6
Is your child allergic to any medications or food?* This field is required.
YESNO
7
Please list any allergies and reactions.
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8
Does your child require any necessary accommodations?* This field is required.
YESNO
9
Please list any needed accommodations.
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10
Does your child take any medications they’ll require during camp?* This field is required.
YESNO
11
Please list any medications they’ll be taking.The Museum will not administer any non-emergency medication to your child
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12
Photo ReleaseI, the undersigned, hereby grant the Whatcom Museum (WM), permission to take photographs or video of my child named on this form for future use in publicity and marketing materials such as print, digital, television, or social media. My child will not be identified by name in this promotion. By signing this form, I hereby certify that I am the parent and/or guardian of named minor on this form.
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13
Medical Release* This field is required.I authorize the Whatcom Museum and its staff to obtain emergency medical treatment for my child in the event of a life-threatening emergency. My signature authorizes my child to be treated by the first available medical facility and physician should the need arise and authorizes my emergency contact listed above to pick up my child from the program and make decisions regarding my child and his/her/their care if I am not available. I understand that every effort will be made to contact me in the event that such an emergency should take place.
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14
Liability Release and Parental Consent* This field is required.In order for my child to participate in summer camp with the Whatcom Museum, I hereby waive, release, and discharge any and all claims for damages for personal injury, and property damages or which may hereafter occur to me as a result of participation in said event. This release is intended to discharge in advance the Whatcom Museum, its officials, officers, employees, volunteers, and agents from liability, even though that liability may arise out of perceived negligence on the part of persons mentioned above. It is understood that some recreational activities involve an element of risk or danger of accidents, and knowing those risks, I hereby assume those risks. It is further understood and agreed that this waiver, release, and assumption of risk is to be binding on my heirs and assignees.
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