Ohio Valley Museum of Discovery · OVMoD Summer Camp 2022

Contact Information

Parent/Caregiver Name

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First Name

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Verify Email

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Address

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City

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Summer Camp Details

Camp Dates

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Please choose one option:

July 5-9 (Tuesday-Saturday)

July 18-22 (Monday-Friday)

Both Camp weeks (July 5-9 AND July 18-22)

Camp Location

Shade Community Center

2380 Old U.S. 33, Shade, OH, 45776

Discovery Summer Camp

Join the Ohio Valley Museum of Discovery for Summer Discovery Camp 2022!

We have two weeks of camp in session at the Shade Community Center this year, starting Tuesday, July 5 through Saturday, July 9 AND/OR Monday, July 18 through Friday, July 22. This half-day outdoor camp for rising 1st-6th graders will feature fun science experiments, explorations of our local environment, artistic expression, local STEAM (science, technology, engineering, arts, & math) experts, and more!

While we will be outside for camp, we have access to the community center's restroom facilities. All activities for camp will be outside, rain or shine. Camp directors will contact caregivers in the event of inclement weather.

Arrival and sign-in daily from 8:30-9:00am. Pick up at 12:00pm.

Cost: $150 per week. (Scholarships are available. Please email director@ovmod.org for more information).

Please review the OVMoD Summer Camp Handbook before registering.

Payments accepted online via Paypal or by check at the first drop off.

Participant Information

How many children are you registering?

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Participant 1 Name

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First Name

Last Name

Participant 1 Grade

(Fall 2022)

Participant 1 Tee shirt Size

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Please specify Youth or Adult (Small, Medium, Large, XL)

Participant 2 Name

First Name

Last Name

Participant 2 Grade

(Fall 2022)

Participant 2 Tee shirt Size

*

Please specify Youth or Adult (Small, Medium, Large, XL)

Participant 3 Name

First Name

Last Name

Participant 3 Grade

(Fall 2022)

Participant 3 Tee shirt Size

*

Please specify Youth or Adult (Small, Medium, Large, XL)

Participant 4 Name

First Name

Last Name

Participant 4 Grade

(Fall 2022)

Participant 4 Tee shirt Size

*

Please specify Youth or Adult (Small, Medium, Large, XL)

We welcome participants of all abilities to OVMoD Summer Camp! Do your campers have any specific needs?

Please list camper's name and all medication, allergies, or other information that will help us.

Emergency Contact 1 Name

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First Name

Last Name

Emergency Contact 1 Phone Number

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Emergency Contact 2 Name

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First Name

Last Name

Emergency Contact 2 Phone Number

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Participant's Healthcare provider Name

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(ex: Physician, Holzer, etc.)

Participant's Healthcare provider Phone Number

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Names of people who have permission to pick up your participant from camp

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(No others will be permitted)

I give permission for photos, videos, or audio of my student to be used by the Ohio Valley Museum of Discovery.

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Yes

No

I acknowledge that I have read and understand the OVMoD Summer Camp Handbook. Copies can be found at www.ovmod.org/summercamp.

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Yes, I have read the handbook

I have read the Camp Health and Safety Plan in the Camp Handbook and agree to the terms within. I will not send my camper to OVMoD Discovery Camp with symptoms of illness OR if quarantine is required.

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Yes, I agree

I give permission to Program staff to provide routine first aid care and in the event of serious illness or injury, I give Program staff permission to seek and authorize emergency medical treatment.

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Legal Guardian Name as my signature.

I release the Ohio Valley Museum of Discovery from any responsibility for injury or illness that may occur while my child participates. I give permission for my child to participate in the OVMoD Summer Camp.

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Legal guardian name as my signature.

Payment options

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Pay Now (Credit Card - PayPal Link)

Pay with Check at Camp drop-off

Scholarship Registration

Paypal Registration payment

Please Click to pay with credit card before submitting this form.

(Our Paypal link lists an option to provide a donation with your registration. These donations will be used to support campers through our scholarship program.)