Summer Art Camp Registration RM_StatsStudent Name *Age *Grade *School *Parent/Guardian *Mailing Address *Home/Cell Phone Number *Work Phone NumberContact in Case of Emergency *Emergency Contact Phone Number *Special Medical Information/Allergies *Email * Arts Center Art Camps (Completed Grades 2nd- 5th)Select an optionAugust 10-14 ($ 100.00) 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. How do you hear about us? Newspaper Social Media Radio Poster Other Subscribe to Newsletter Note: It looks like JavaScript is disabled in your browser. Some elements of this form may require JavaScript to work properly. If you have trouble submitting the form, try enabling JavaScript momentarily and resubmit. JavaScript settings are usually found in Browser Settings or Browser Developer menu. Share this:PrintTweet
