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* Indicates required field

Parent First & Last Name *

First

Last

Relationship to Child(ren) *

Parent Guardian

Address *

City *

State *

Zip *

Home Phone *

Cell Phone *

Email *

If registering more than one child:

Child's First & Last Name *

First

Last

Age *

Child's First & Last Name *

First

Last

Age *

Please tell us in box below if there are any medical or physical conditions you feel we need to be made aware of, allergies, etc, in order to ensure your child has the most fun-filled safe experience possible. If nothing, please indicate "None"

Additional Information *

Emergency Contact *

Phone Number *

Camp dates are Monday, August 14 thru Thursday, August 17, 2017 beginning at 10am and ending at 4pm each day. Kid's may be dropped off no earlier than 9:45am and must be picked up no later than 4:15pm at the Civic Garden Club, 704 South Second Street, La Conner (across the street from the Pacific Northwest Quilt & Fiber Art Museum). A parent or other designated adult must sign the child in and out. Children will not be released to anyone not listed as authorized on this form. We will not accept that authorization over the phone. If there is an unavoidable delay in picking your child up, please call the Museum and notify staff at (360-466-4288) of when an authorized person will be arriving. Museum staff will remain with child until picked up by an authorized person.

Other than myself, the following people are authorized to pick-up my child(ren): (Minimum of two additional authorized people required. Be sure to list other parent from one completing registration form as authorized, including any step-parents.)

#1 *

First

Last

Relationship #1 *

Phone #1 *

#2 *

First

Last

Relationship #2 *

Phone #2 *

#3 *

First

Last

Relationship #3 *

Phone #3 *

#4 *

First

Last

Relationship #4 *

Phone #4 *

We are committed to giving your child(ren) the most fun possible, while also teaching them about fiber art materials & techniques. Please make sure that your child wears comfortable clothing and foot wear that is safe and may possibly become dirty or even permanently stained. We will do our best to minimize any permanent damage by providing gloves/aprons but spills and splashes are inevitable.

Cancellation Policy:Refunds minus a 10% processing fee will be given up to two (2) weeks before camp begins. Requested refunds less than two (2) weeks before camp begins will only be issued if the vacancy is filled by another child. In the unlikely event that the camp must be cancelled by the Museum, a full refund will be issued.

By hitting submit to this form, you are stating that you understand the requirements we have provided and are agreeing to abide by them.

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The Fine Print

Cancellation Policy:Refunds minus a 10% processing fee will be given up to two (2) weeks before camp begins. Requested refunds less than two (2) weeks before camp begins will only be issued if the vacancy is filled by another child. In the unlikely event that the camp must be cancelled by the Museum, a full refund will be issued.

Kid's Fiber Arts Camp Registration