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Summer Art Camp 2021 Registration

Please read the Parent Camper Handbook before registering your camper.

If you were registered for Summer Art Camp last year (2020) when camp was cancelled due to Covid-19 and asked for credit rather than a refund, please contact Leah Magyary (director@dairybarn.org) before filling out this form.

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First Name
Last Name
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In order to attend camp, campers must have completed a year of Kindergarten. Some children may be attending a second year of kindergarten. These campers are still qualified to attend camp, as long as they have had a full year of Kindergarten!
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(mm/dd/yyyy)

Making us aware of any specific needs your camper may have will help us ensure a successful camp experience. Please list any known allergies/other conditions including medications campers will be taking during camp hours. We strive to accommodate all campers and if you have any questions or concerns please don't hesitate to contact our Education Director (kelly@dairybarn.org.)
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Our t-shirts are off white (non-bleached fabric) with a yearly camp design. The brand we get tend to run a little big in the youth sizes.
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First Name
Last Name
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Please enter without dashes or marks EX: 7405924981
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First Name
Last Name

Please enter without dashes or marks EX: 7405924981


Please enter without dashes or marks EX: 7405924981

Please enter without dashes or marks EX: 7405924981
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First Name
Last Name
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Please enter without dashes or marks EX: 7405924981

First Name
Last Name

Please enter without dashes or marks EX: 7405924981

EX: Holzer

Please enter without dashes or marks EX: 7405924981
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Enter your name in the space above, along with today's date. This will act as your legal signature for the following 4 questions.
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I understand that the name written in the previous space represents me and is my legal signature. I am stating that I am a parent or legal guardian of the camper named in this registration form. I understand that when I click "I agree" in the next questions, I am officially signing my name and agreeing with The Dairy Barn's terms.
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By clicking the accept box, I state that in case of accident or serious illness, I request that I/we be contacted. I give permission for emergency medical treatment and to be transferred to the nearest medical facility. I agree to assume all costs related to such treatment and I release the Dairy Barn from any responsibility for injury or illness that may occur while my child participates. I also give permission for my child to participate in The Dairy Barn Summer Art Camp.
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The Dairy Barn respects your parental rights! We love Camp publicity, but we understand not all parents are comfortable having their children’s photos published. Photographs may be taken by Dairy Barn staff and used on the Dairy Barn website, Facebook page, or in teachers' personal portfolios or personal social media pages. Photos may also be taken by local news media and used in newspapers and on their websites. If you want to allow photos of your camper to be used, click "Allow". If you do NOT wish you camper to be photographed, click "Don't Allow".
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(Please review the SAC Handbook, linked below.) By agreeing to this acknowledgement, I state that I have thoroughly read and understand my duties and responsibilities as outlined in the Summer Camp 2021 Handbook. I understand that I will be held to these rules and guidelines and will be charged additionally if I fail to adhere to camp pick-up times clearly stated in this handbook. I understand that my child will be held to the Full Value Contract and will be expected to show good behavior and respect for all instructors, assistants and other campers. My child may be terminated from camp if there are severe behavior and respect issues that consequences and counseling do not resolve. I understand that I will not receive a refund unless at the discretion of the Education Director.
Theme Selection
Please note that this year, for Covid-19 safety, Summer Art Camp is only offered in full-day, week-long sessions. We will still have two themes to explore per day, as listed. Please indicate the week(s) you would like to participate and if you desire to also enroll in Aftercare. If you would like to become a Household Member of The Dairy Barn use the link below.
Billing Contact Information
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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
Summer Art Camp Scholarship Program

We believe that all kids should have the opportunity to attend Summer Art Camp at The Dairy Barn. Every year, your support helps us offer scholarships to families who wouldn't be able to afford camp otherwise. 

Still have credit from last year's cancelled art camp? You can donate some or all of your credit to the scholarship program if you choose. Contact director@dairybarn.org for more information on how to make this happen.

We appreciate your support!