8/03/26 Mix it Up Art (K-2nd)

Mix it Up Art Day Camp Sign Up

On this page, select how many youth you are signing up for this event. The following pages will collect information about the participant(s) and contact information.
Mix it Up Art (K-2nd)

Lester Buresh Community Center - 855 Palisades Rd SW, Mount Vernon, Iowa 52314

Monday August 3rd, 2026

9:00 AM-3:00 PM

Mix it Up Art(K-2nd)

You will check out at the end of the sign up

$35 How many children are you signing up for this camp?
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Caregiver/Emergency Contact Information
Primary Caregiver Name

First NameLast Name
Primary Caregiver Email

Confirmation EmailWe will use this email to send reminders about camp.
Primary Caregiver Phone Number
Please enter a valid phone number.Format: (000) 000-0000.
Emergency Contact information (DIFFERENT from caregiver information given above. We will use this information if we cannot reach you at the above phone number.)

Release Forms
*I give permission for my child to participate in the 4-Hprogram and assume the risk of participating. *I agree to the behavioral expectations of the 4-H program. *If an injury or other medical condition occurs, I give permission to the program staff to provide care and seek emergency treatment.
I give permission for my child to have their photo taken to be used for media, news releases, and reports. Visit our website to view full registration/ disclosure agreements: https://www.extension.iastate.edu/linn/summer-programs
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Mix it Up Art Day Camp Sign Up