Summer Camp Registration for Not-Yet-Members

Parent/Guardian Name(s)

Email Address

Street Address

Apartment, suite, etc

City

State/Province

ZIP / Postal Code

Country

Phone

Emergency PhoneOther than parent

If any of the students have medical needs, allergies, or other special needs, please list details below:

Signature

I understand that my child is required to follow the CDC recommendations such as hand washing, social distancing, and wearing face masks when social distancing is not feasible. I will comply with the NIC’s staff decision to send my child home if s/he is not following the above-named guidelines or exhibits COVID19 symptoms such as coughing, sneezing and/or high temperature. I understand I will not be reimbursed the camps fees in case of my child’s failure to follow the guidelines or exhibiting COVID19 symptoms.

Total Camp Fee

Signature

I have read and agree to the Liability and Procedural Agreements (PDF Linked above this form). I hereby release, hold harmless, defend and indemnify The Nicolaysen Art Museum, from any and all damages, injuries and causes of action which may accrue to or be asserted by me or any minor child of mine arising directly or indirectly from my minor child’s participation in Summer Art Camp at The Nicolaysen Art Museum.

I give the Nic permission to release my child to the following people:Please list this person(s) Full Name, Phone Number, and Relationship to the student.

I give the Nic permission to release my child (11+ only) to leave camp on his/her own.YesNo

Permission for Student (11+) to leave camp on his/her own.

Summer Camp Registration for Not-Yet-Members

Before beginning the registration process, please review the Liability and Procedural Agreement by clicking here.

Summer Camp Choices

Summer Camp Choices

Summer Camp Choices

Summer Camp Choices