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2022 McT SUMMER CAMPS ~ ART CAMP at McT

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2022 McGill-Toolen Catholic High School

SUMMER ART CAMP

Rising 3rd - 7th grade (Ages 8-13)

ONLY ONE WEEK AVAILABLE:

June 27-July 1 (9am-Noon)

Camp directed by Anne Carr, McGill-Toolen Catholic High School Art Teacher

Please complete the form below. You will need to complete one form per child/per camp. Camp size is limited to 18 kids per week. Please register early to get your child's spot.

Payment to be made directly to art teacher, directions below. Any questions, please email Anne Carr at [email protected]

Required fields marked with an asterisk *

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Participant Information

First Name (Participant Name)*

Answer required for "First Name (Participant Name)"

Middle Name (Participant Name)*

Answer required for "Middle Name (Participant Name)"

Last Name (Participant Name)*

Answer required for "Last Name (Participant Name)"

What school do you attend? *

Answer required for "What school do you attend? "

Grade for the 2022-2023 school year*

Answer required for "Grade for the 2022-2023 school year"

Age*

Answer required for "Age"

Date of Birth*

Answer required for "Date of Birth"

Home Address*

Answer required for "Home Address"

City*

Answer required for "City"

Zip/Postal*

Answer required for "Zip/Postal"

I hereby give my consent for my child to participate in all camp program activities and release McGill-Toolen Catholic High School, its' coaching staff, its' officers, directors, agents, and employees from any and all liability for personal injury arising from my child's participation in the program. If at any time it is necessary for the player to receive outside medical attention, I hereby give my consent to the program to secure the services and arrange transportation if deemed necessary. I am also aware I will be responsible for any and all medical expenses resulting from sickness or injury during the program. *

Answer required for "I hereby give my consent for my child to participate in all camp program activities and release McGill-Toolen Catholic High School, its' coaching staff, its' officers, directors, agents, and employees from any and all liability for personal injury arising from my child's participation in the program. If at any time it is necessary for the player to receive outside medical attention, I hereby give my consent to the program to secure the services and arrange transportation if deemed necessary. I am also aware I will be responsible for any and all medical expenses resulting from sickness or injury during the program. "

Yes (please check)

Physician Name*

Answer required for "Physician Name"

Physician Phone Number*

Number Required

Preferred hospital*

Answer required for "Preferred hospital"

If child has allergies, please list here (If no allergies, please type NONE)*

Answer required for "If child has allergies, please list here (If no allergies, please type NONE)"

Any medications or medical diagnosis to be aware of (If none, type NONE)*

Answer required for "Any medications or medical diagnosis to be aware of (If none, type NONE)"

Parent/Guardian Name (Electronic Signature for consent) *

Answer required for "Parent/Guardian Name (Electronic Signature for consent) "

Special custodial information (if needed)

Answer required for "Special custodial information (if needed)"

Email *

Answer required for "Email "

Mobile Phone*

Number Required

Home Phone*

Number Required

Emergency Contact Name*

Answer required for "Emergency Contact Name"

Emergency Contact Phone Number*

Number Required

Will parent/guardian listed above be picking up from camp?*

Answer required for "Will parent/guardian listed above be picking up from camp?"

YES

Will emergency contact above be picking up from camp?*

Answer required for "Will emergency contact above be picking up from camp?"

YES

Other person able to pick up art camp participant:*

If no one else, please put NONE

Answer required for "Other person able to pick up art camp participant:"

Summer Art Camp*

Artwork created in clay, paper mache and painting. Campers will have the opportunity to glaze their pottery pieces and take home all their artwork for the week. Please choose week you would like your child to attend.

Answer required for "Summer Art Camp"

TOTAL COST IS $150.00

Non-Refundable Deposit due at time of registration: $50.00

Balance due one week in advance of camp session choice

Please pay by Venmo: @Anne-Carr-83 OR PayPal: [email protected]

Confirmation Email

Answer required for "Confirmation Email"