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Registration for Multi-Arts 2022 Summer Camp
To complete registration for any of the 2022 Multi-Arts Summer workshops you must:
•Complete this online registration and submit
•For new multi-arts' families: Sign and return Release of Liability Agreement.
https://docs.google.com/document/d/1tmljakm2ntU8ifrpxePiVudj2uZF-66k4wFNt4_lwtc/edit?usp=sharing
•Send certification of up-to-date immunizations/most recent physical exams. Include COVID immunization.
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* Indicates required question
Email
*
Your email
Child's first name
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Your answer
Child's last name
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Your answer
Child's age on June 2022
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Your answer
Sex
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Female
Male
Other
Select the workshop(s) you would like to register. If you change workshop session or withdraw from a workshop before June 8, 2022, you will not be charged for the change and you will receive a full tuition refund.
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NEW: One day Option !! - Fee member $80 - Non members $90 per day - $50 for families with financial need.
Workshop III: July 11- 22 - Two weeks
Workshop IV: July 25- August 5 - Two weeks
Workshop V: August 8- 12 - One week
Required
If signed for "One day Option" or one week for workshop III; or IV. Please write dates below
Your answer
Half Day Option (Only available if sign up for the WHOLE WEEK) please indicate:
8:30-12:30
11:30-3:30
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Parent/guardian name
*
Your answer
Parent/guardian town
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Your answer
Parent/guardian cell phone (write N/A if no cell phone)
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Your answer
Best way to contact parent/guardian in an emergency
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Your answer
Parent/guardian email
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Your answer
You will receive communication via
multiarts.org@gmail.com
. Please be sure it doesn't go to spam.
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Yes we will accept -
multiarts.org@gmail.com
Required
Optional: I authorize the following people to pick my child up from the program:
Your answer
First aid
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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?
Your answer
Does child has any life threatening allergies?
Your answer
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)
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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
How did you learn about this program?
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Word of mouth
School flyer
Art exhibitions
Newspaper
Facebook
Internet search
Flyer
Other
Required
Payment method
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Check- PO Box 108 Hadley MA 01035. Please include name of child
Paypal-
paypal.me/MultiArtsplease
, 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.
*
Your answer
Submit and pay online-
http://www.multi-arts.org/payment.html
- or send check with full payment of tuition to Multi-Arts - PO Box 108 - Hadley, MA 01035.
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