Name: Rhythm Around the World
Start: 2020-06-22T09:00:00+00:00
End: 2020-06-26T12:00:00+00:00
Location: Colquitt County Arts Center

Student Name^*

Age^*

Grade^*

School^*

Parent/Guardian^*

Mailing Address^*

Home/Cell Phone Number^*

Work Phone Number

Contact in Case of Emergency^*

Emergency Contact Phone Number^*

Special Medical Information/Allergies^*

Email^*

United Way Arts Camp (Grade Completed 2nd-5th)

The first camp for United Way is $85. Every additional week and additional child is $75. Please use the additional weeks column if you have previously signed up for a United Way camp this summer. If this is your first time registering for a United Way Camp, please use the drop down box above.

United Way Additional Weeks

That’s Surreal (June 15-19) ($ 75.00)
Empire Art (June 22-26) ($ 75.00)
3-D Creativity (July 6-10) ($ 75.00)
Drawing, Drawing, Drawing (July 13-17) ($ 75.00)
Bending Nature (July 20-24) ($ 75.00)
Discover Printmaking (July 27-July 31) ($ 75.00)

The first camp is $85. Every following camp is $75. Please choose an $85 camp if this is your first time registering for a United Way camp this year.

Ms. Leah’s Art Camp (Ages 3-8)

June 22-26 Girls Just Wanna Have Fun! ($ 100.00)
July 13–17 Shape of Me & Things ($ 100.00)
July 20–24 He-Man Club ($ 100.00)

Dance Camp (Ages 3-9)

Katie's Yoga Camp (Ages 5-12)

July 13th - 17th ($ 100.00)
July 20th - 24th ($ 100.00)

Cooking with Connie (Ages 5-10)

July 29th - 31st ($ 65.00)

Disorderly Conduct Policy
The Arts Center reserves the right to dismiss a student due to disorderly behavior. No refunds will be made if a student is dismissed for disciplinary reasons.

Medical Release
The Colquitt County Arts Center will not assume responsibility for any injury incurred while participating in any program or event, nor will the Colquitt County Arts Center be liable for lost or stolen items while members and/or program participants are using Arts Center facilities or are on the premises or participating in an off-site event representing the Colquitt County Arts Center. I give my permission for the Colquitt County Arts Center to conduct any necessary measure regarding the health of my child or myself in case of emergency.

Media Release
I understand photographers and/or television crews will sometimes be present photographing or filming the Colquitt County Arts Center's classes, rehearsals, lessons, and/or performances. I give my permission for resulting photographs and/or television footage, which may include my child, to be used appropriate by the staff of the Colquitt County Arts Center.

Parent/Guardian Signature for Student^*

Initial^*

Date^*

* Only Paypal payments are accepted. Please make sure you have an account with an attached card before making a payment.

* Credit, Debit, Check and Cash payments can be made in the main office open M-F 10 am - 5:30 pm.

*Payments are non refundable. If there are extenuating circumstances please notify us.

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