Thanks for participating in the 2024 Arts Exploration Lab on Saturday, May 11 for 13 to 19-year-olds. The schedule is:
The fee to participate is $25 and includes classes, supplies, snacks, dinner and Open Mic. If you prefer to pay cash the day of the camp or need financial assistance, you will find a coupon code at the end of this form at the payment processing step.
If you have any concerns or issues with this form, please call us at (269) 501-1347
Contact Information
Select from the workshops below for each session. Please note that many of the workshops have two parts. You must select both part 1 and part 2 for these workshops. Also, for Jazz and Rock, we will have a keyboard and drum set but all other musicians should bring their own instruments. For percussion, you do not need to have musical experience will have instruments for you to use, but you are welcome to bring your own.
You can also select your workshops the day of the camp BUT there are limited spots for each workshop so please keep that in mind.
Session 1 Time 12:30 to 2:00 (90 min)
Session 2 Time - 2:10 to 3:40 (90 min)
Session 3 Time 3:50 to 4:50 (60 min)
Session 4 Time 5:00 to 6:00 (60 min)
OPEN MIC 7 - 8:30 pm at 107 S Main Street
Doors open at 6:45, Performances begin at 7 pm.
Informed Consent and Liability Release
I hereby give my approval for my child’s participation in any and all activities prepared by the Vicksburg Cultural Arts Center during the 2023 Arts Exploration. In exchange, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless the Vicksburg Cultural Arts Center and all its respective officers, agents, and representatives from any and all liability for injuries to my child arising from participation in the event. In case of injury to my child, I hereby waive all claims against the Vicksburg Cultural Arts Center, including all teachers, participants, sponsoring agencies, advertisers, and owners and lessors of premises used to conduct the event.
In the case that the participant is 18 at the time of registration, the participant assumes all risk and hazards as described above.
Medical Release and Authorization
As Parent and/or Guardian of the named participant, 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. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named camper(s). In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the Vicksburg Cultural Arts Center and its affiliates including Directors, Instructors, and trained volunteers to provide the needed emergency treatment prior to my child’s admission to the medical facility. Release authorized on the dates and/or duration of the 2023 Arts Exploration Lab. 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.
Photograph/Video Authorization and Release
The VCAC and its authorized representatives will take photographs and videos during activities surrounding the 2023 Arts Exploration Lab. Please indicate your preference on permission to publish photographs and videos taken. If you grant permission for us to use photographs and videos of your minor child (or of you if you are 18), you will be waiving any right to compensation for their use. The likeness of participants' likeness may be used on the Vicksburg Cultural Arts Center website, newsprint and social media.
BY PRESSING THE SUBMIT BUTTON AT THE END OF THIS REGISTRATION FORM, 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.
PAYMENT
If you have indicated that you are paying by cash at check in, please enter "AEL24" into the ENTER COUPON box (no quotes) and click on the APPLY button. The amount due will zero out. Don't forget to click the SUBMIT button.
If you scored on the Sponsorship, please enter "Sponsor" in the ENTER COUPON box (no quotes) and click on the APPLY button. The amount due will zero out. Don't forget to click the SUBMIT button.
Please click one of the PayPal options to complete payment and submit the form.