Creator's Club Sign Up

Student's Name

First NameLast Name

Sibling's Name (if more than 1 child is joining)

First NameLast Name

Student's Age/s

Parent's Name

First NameLast Name

Email

example@example.com

Parent Phone Number

Please enter a valid phone number.Format: (000) 000-0000.

Emergency Contact

First NameLast Name

Please add any food allergies

Is there anything else we should know about your child to ensure the best experience possible :)

Do we have your permission to share photographs of your child in emails to parents to show what we've been up to?

I, the undersigned parent or legal guardian, hereby give permission for my child (or children), student's name to participate in the Creator's Club organized by Stacey Maney (Stacey Cat LLC).
I understand that the club activities may include but are not limited to painting, sculpting, and crafting, and I acknowledge the potential risks involved. I agree to release and hold harmless Stacey Maney (Stacey Cat LLC), volunteers, and affiliates from any and all claims, liabilities, or damages that may arise as a result of my child's participation in the camp. In the event of an emergency, I authorize the camp staff to seek necessary medical treatment for my child and agree to be responsible for any medical expenses incurred.

By signing below, I confirm that I have read and understood this release form in its entirety and voluntarily agree to its terms.
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Creator's Club: Session 1 Sign Up