Brush it Off Seattle Art Camp 2026

Art Camp Registration

Summer 2026
We are excited to have you join us for our Art Camp this summer!

This registration form is to be filled out after you have paid the deposit for your camper's slot. If you have not done so yet, please head to brushitoffseattle.com and pay your deposit. We will reach out with the invoice and these registration forms afterwards.
Which session is your camper signed up for?
Camper Information
Camper's Name

First NameLast Name
Birth Date

MonthDayYear
Grade Entering Next School Year
Gender

Other
Home Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information
(please list in order that you prefer for us to contact you if necessary)
Name

First NameLast Name
Home Number
Format: (000) 000-0000.
Cell Number
Format: (000) 000-0000.
Email
example@example.com
Name

First NameLast Name
Home Number
Please enter a valid phone number.Format: (000) 000-0000.
Cell Number
Please enter a valid phone number.Format: (000) 000-0000.
Email
example@example.com
Emergency Information
Emergency Contact's Name

First NameLast Name
Relationship
Phone Number
Format: (000) 000-0000.
Alt. Phone Number
Format: (000) 000-0000.
Emergency Medical Information
Does the camper have any medical conditions or concerns? If yes, please specify.
Does the camper have any food, medication, or environmental allergies? If yes, please specify.
Camp Information

This camp will run from 10am-2pm each day. We will have time at the beginning and end of each day for settling in and cleaning up, respectively; however please make every effort to have your camper arrive on time.

We are located quite close to public transportation, and we have limited street parking available as well. Our address is 10858 2nd Ave SW, Seattle, WA, 98146. The entrance to the studio is through SW 110th St.

Campers are responsible for bringing their own lunch, as well as any snacks they may wish to have during the camp day. Please note that we may have other campers with allergies; while we are not a nut-free studio, we ask campers to be respectful of others' space, and to help us stay allergen-friendly by cleaning up after their food and ensuring they wash their hands and any tools before beginning to work on art again.
Behavior and Liabilities

This camp takes place within our functioning and operating pottery studio, which includes a kiln for firing pottery pieces as well as art materials and pottery pieces from other artists waiting for pick-up. Our expectation for each camper and artist who steps into our studio is that they respect the space we've built, as well as the other people and the materials within the space.

Some of our goals for this camp include fostering a growth mindset and sense of pride, nurturing self-expression, and cultivating a sense of responsibility and ownership. We will not tolerate bullying, name-calling or inappropriate foul contact; we reserve the right to send campers home without a refund if these behaviors are exhibited repeatedly.
Informed Consent and Acknowledgement

I hereby give my approval for my camper’s participation in any and all activities prepared by Brush it Off Seattle during the selected camp. I assume all risk and hazards incidental to the conduct of the activities, and I release, absolve and hold harmless Brush it Off Seattle and all its respective employees and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions.

In case of injury to said child, I hereby waive all claims against Brush it Off Seattle, including all supervisors and teachers, employees, all participants, and, if applicable, owners and lessors of premises used to conduct the event. This camp is held within a functioning and operating pottery studio, which contains equipment including but not limited to pottery wheels and kilns. There is a risk of being injured when operating and working near equipment, and my camper is responsible for listening to all safety instructions. Some of these injuries include, but are not limited to, the risk of burns, fractures, paralysis, or death.
Medical Release and Authorization

As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. I hereby consent to Brush it Off Seattle activity supervisor(s) making any decisions and taking any actions to arrange for emergency medical treatment.

This authorization is granted only after a reasonable effort has been made to reach me.

Release authorized on the dates and/or duration of the registered session.

This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Confirmation

I, the parent/guardian, hereby agree and declare that I have carefully read and understand the scope of the summer camp activities, and I consent to the participation of the camper for these activities.

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.
Date

MonthDayYear
Date
Signature
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Art Camp Registration

We are excited to have you join us for our Art Camp this summer!

Camper Information