Art Camp/TAP 2021

I ♥ Learning and Creating and I ♥ Laumeier members receive 10% off programs and a waiver for the registration fee.

ADMIN

Participant Information

Participant Name

Date of Birth

Age should be between 6 and 17 as of June 10th, 2021

How should we refer to your child when we're not calling them by their name? Select one or more options.

she/her/hers
he/him/his
they/them/theirs
other

School

Grade in Fall 2021

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Registration Information

Registration Options

Full Day Camp / Ages 6-12
Teen Art Program / Ages 13-17

Registration Fee

$25.00

Registrant Total

$25.00

Coupon Code

Total

$25.00

* To add another participant scroll down and click SAVE PARTICIPANT.

Parent/Guardian Information

Parent/Guardian (1) Name

Parent/Guardian (1) Phone

Parent/Guardian (1) Email

add 2nd parent/guardian

Laumeier Education Fund Scholarship

Laumeier Sculpture Park offers tuition assistance for its Education Programs. This assistance is based on financial need and is awarded on a first-come-first-served basis. Scholarships do not cover $25 registration fee.

Apply for Laumeier Education Fund Scholarship?

Emergency Contact / Medical Information

Emergency Contact Name

Emergency Contact Phone Number

Physician Name

Physician Phone Number

Health Considerations

Pickup Authorization

List YOURSELF and anyone authorized to pick up your child (e.g. relatives, carpool drivers, babysitters, etc.).

Please include: Name, relationship to participant, and phone number.

Authorized for pickup

Waivers

Photo Permission

Yes
I authorize Laumeier Sculpture Park to use photos of me and my child(ren) in the routine promotion of its programs.
No
I do not authorize Laumeier Sculpture Park to use photos of me and my child(ren) in the routine promotion of its programs.

Release Waiver

I understand that Laumeier Sculpture Park will institute emergency care should the need arise. I will not hold Laumeier Sculpture Park or St. Louis County responsible for any physical injury that may occur during normal program activities, despite all precautions taken.

I, the undersigned, agree to the terms above.

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How did you hear about Laumeier's Summer Art Camps/Teen Art Program?

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