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Event details

Date

July 27, 2020 9:00AM

Title

Acting Funny! Camp

Ages: 9-13

Notes

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Camp Attendee Information

Additional Attendee(s) Information

2nd Attendee

3rd Attendee

Parent/Guardian Information

Check the box if you are the Parent/Guardian for the above child(ren). If not, please fill out parent/guardian information below:

Emergency Contact Information

Please list who we should contact in case of an emergency.

Pick Up Information

Please list no more than 4 people who are authorized to pick up the child(ren) from the museum.

Disclosure Agreement

I understand that, in registering for camp, my child(ren) will be involved in physical activities and that, with any physical activity, there is a risk of injury. In the event of an emergency, I authorize the physician in the emergency care department at St. Luke’s Hospital to secure proper treatment for the child(ren) indicated above. I also authorize photography of the above named child, or any artwork he/she produces as part of the Camp Program, for the Nelson-Atkins Museum of Art archival documentation purposes and to authorize publication of this material in any media for promotional or educational purposes. I agree to the above terms and have ensured that all the information given is accurate and up to date and that if there are any changes that it is my responsibility to inform the Nelson-Atkins Museum of Art.

By checking the box and typing your name, you consent to the above.