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Art & Ecology & Circus Camp
Contact Information

First Name
Last Name
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First Name
Last Name
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country
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(what to bring list, weekly schedule, snacks, performance information will be sent to email, if applicable)
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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
Country



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First Name
Last Name
*


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By checking this box, I give my permission for the above mentioned camper to participate in DSAEC's Art & Ecology & Circus Camp. It is my understanding that the camp will include activities such as hiking, wading, creek stomping, field, and wildlife observations, as well as inadvertent exposure to potentially harmful animals and/or plants (such as bees, wasps, and poison ivy). In consideration of DSAEC’s acceptance of this child’s registration, I assume any risk connected with this child’s participation in such activities related to personal or bodily injury and agree to hold harmless the Dreaming Stone Arts and Ecology Center, its officials, directors, employees, volunteers, and agents for damage arising from any injury to this child. I authorize DSAEC Arts & Ecology & Circus Camp staff to arrange for transportation and/or necessary emergency treatment for this child should the need arise and I cannot be reached. Furthermore, I understand that I must sign a Waiver of Liability (provided by DSAEC) before the child is able to attend the camp.
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As a parent of the above mentioned camper, I hereby consent that any photographs, videotapes, recordings, etc., in which my child appears may be used by the Dreaming Stone Arts and Ecology Center, in whatever way they desire, and that these photographs, records, etc., shall become the property, which they may use free and clear of any claims on my part.
Camp Costs

This includes 5 days of camp programming, plus 2 family members’ admittance to the performance & community dinner on Saturday. There will be an option to purchase additional tickets to the performance and community dinner.

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If you are unable to make a payment at this time and would like to set up a payment plan or apply for a scholarship, please reach out to us at dreamingstonenc@gmail.com. We are currently raising a scholarship fund, so as to provide a limited number of partial and full scholarships. Also, please be in touch if you would be open to sponsoring another child's participation in this camp.