Dreamers Summer 24 Clay Camp, Session 4

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Dreamers, Summer Clay Camp Session 4, 8/5-8/9 and 8/12 - 8/16

Camper Information

Child's Name
Parent/Guardian Name
Current Residence

Emergency Contact Information

Emergency Contact #1 (Parent or Legal Guardian)
Emergency Contact #2 (Other than Parent Above)
Primary Care Physician or other provider of medical care

Health Information

Are there any health problems including physical, psychiatric, or behavioral problems of which we need to be aware?
Are there any medications, dietary restrictions, allergies, or special needs that we need to be aware of to ensure that your child’s camp experience is positive?

Immunization Infromation

Where do you currently reside?

Medication Information

Please check NO or YES if your child will need to take ANY FORM OF MEDICATION (Including prescription medication or over the counter medication) during camp hours ONLY, including any prescribed EMERGENCY MEDICATION.


Photo Release Policy:

By granting permission for registrant’s name, voice, photographic likeness, and student work to be used by Art Works Now, the following applies: For valuable consideration received, I grant to Art Works Now and its legal representatives and assignees, the irrevocable and unrestricted right to use and publish photographs or videos of the undersigned minor children, for editorial, trade, advertising, and any other purpose and in any manner and medium; and to alter and composite the same without restriction and without my inspection or approval. I hereby release Art Works Now and its legal representatives and assignees from all claims and liability relating to said photographs.

I grant permission for the registrant's name, voice, photographic likeness, and student work to be used by Art Works Now.

Health Policy:

Stay home if you are sick, if you are positive for COVID-19, or if you are showing symptoms of COVID-19, a cold, or the flu.

Anyone found to be positive for COVID-19, or who is actively exhibiting symptoms of COVID-19,, or flu while on AWN premises will be sent home immediately.

While participating in an on-site program, participants shall notify Art Works Now immediately of a positive test result for COVID-19 via email to the Senior Director of Programs, Manique Buckmon at manique@artworksnow.org.

Masks are optional.

I acknowledge I have read and will comply with health policy for attending in-person programming (mandatory)

Cancellations, Refunds, Transfers, and Credits Policy:

As a non-profit organization, AWN is committed to ensuring access to art high-quality arts education and experiences for all. To achieve this, we are committed to maintaining affordable tuition rates and are unable to provide refunds for registrations at this time. However, we do accept requests for transfers or credit in the event that registrants are unable to complete a class. All requests must be emailed to info@artworksnow.org. Please note, transfers are subject to availability and are not guaranteed. In addition, no transfers or credits will be provided for requests received less than two weeks prior to the first class session.

If you have questions, please contact us by phone at 301-454-0808 or email at info@artworksnow.org.

I acknowledge I have read the cancellations, refunds, transfers and credits policy (mandatory)
To sign, type your full name above. This will be considered your signature on this document.