Multi-Arts April Camp 2022

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We empower children to explore their own creativity and develop a lifelong love of the arts

Parent/guardian name *

Your email address. *

Parent/guardian cell phone *

Child's name *

Child's age *

Sex *

Female

Male

Other

Best way to contact parent/guardian in an emergency *

We have few slots for ONE DAY option- Please send us an email to multiarts.org@gmail.com to check for availability. *

My child will come the whole week

I will check if there is space

Other:

Required

Half-day Option: We have few slots for 1/2 day option- Please send us an email to multiarts.org@gmail.com to check for availability.

Morning 8:30-12:30

Afternoon 11:30-3:30

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You will receive communication via multiarts.org@gmail.com. Please be sure it doesn't go to spam. *

Yes we will accept - multiarts.org@gmail.com

Required

Optional: I authorize the following people to pick my child up from the program:

First aid *

I give the Director and staff of Multi-Arts permission to administer minor first aid to my child. Should more than a minor injury occur, requiring emergency treatment, I give permission to the Director and staff to acquire emergency medical treatment (i.e. ambulance).

Other

Required

Is there any information staff should know to help your child have a successful and fun day?

Does child has any life threatening allergies?

Photograph and video release (No profit will be made from these recordings, and the names of the children will not appear next to the images) *

I give permission for Multi-Arts to take photographs and/or video recordings of my child that may be used for future brochures/publicity materials on the Multi-Arts website. I also give permission to videotape my child’s image and/or voice and have it cablecast on Local Community Television and other community access channels.

No pictures of my child may be taken

Other

Required

Payment method *

Check- PO Box 108 Hadley MA 01035. Please include name of child

Paypal- please, write child's name in the "ADD A NOTE" box before submitting your paypal payment

Other

By typing my name below, I agree that I have reviewed the following information and verify that it is correct. My name and initials below denote a virtual signature, and agreement to the terms and conditions of registration. *

Where do you look for information about programs for your child?

How did you learn about this program?

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