Kids Spring Break Registration Form

Kids Spring Break Art Camp 2019 - Registration Form

Please Fill out the form to register
Child Name

First Name Last Name
Age
Date of Birth
Sibling Name

First Name Last Name
Age
Date of Birth

Address

Street Address
Street Address Line 2
City	State / Province
Postal / Zip Code	Country

Medical Concerns
Guardian

First Name Last Name
Phone Number

- Area Code Phone Number
E-mail
How did you hear about us?
EMERGENCY CONTACT:
Name

First Name Last Name
Relation-ship
Phone Number

- Area Code Phone Number
Camps

Fairies - AM Hot Air Balloons - PM
LIABILITY WAIVER

I release and hold harmless the Sugar Land Art Center & Gallery, its employees, students and agents from any and all liability for any loss, damage, injury or expense that I or my next of kin may suffer as a result of my participation in this Kids Art Camp program, including but not limited to, accidents, acts of God, war, civil unrest, sickness, terrorism, transportation, scheduling, government restrictions or regulations and any and all expenses I may incur while participating in the program. I understand this agreement cannot be modified except in writing by the school and that no oral modification or interpretation shall be valid.

I give permission to take pictures of my child in classes for publicity in the newspapers, website or on brochures, in an effort to promote Kids Art Camp for future years.

I allow Sugar Land Art Center & Gallery’s teaching staff to notify you of other upcoming learning opportunities.

I have read this document carefully and I acknowledge my responsibilities and the effect of this liability waiver.

Cancellation Policy

There is a $25 non-refundable processing fee per class for cancellations. Cancellations made less than 7 days in advance are non-refundable. Please contact the Kids Art Kamp Director at Sugar Land Art Center & Gallery for extenuating circumstances.
Agree
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Kids Spring Break Art Camp 2019 - Registration Form