Make this a Summer to Remember!

Camper Name *

First Name

Last Name

Parent/Guardian Name *

First Name

Last Name

Phone *

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Terms and Conditions *

My child has my permission to participate in all camp activities and is in good health. I hereby, and for my heirs, executors, and administrators, assigns and all legal guardians, waive and release any and all rights and claims of any nature I may have against The Awakening Arts, its Directors, employees, Board of Directors, volunteers, and cooperating entities for and against any and all injuries and damages of any nature, which my child may suffer while taking part in Penny the Piano, Suzanne Jackson Studio, Camp Create or other activities associated with The Awakening Arts. In case of a medical emergency, after every reasonable effort has been made to contact me or the child’s physician, I hereby give my permission to the Emergency Medical personnel contacted by The Awakening Arts to secure treatment for my child. I also authorize The Awakening Arts to provide a copy of this form to proper medical personnel for purposes of treating my child. In the event that any such treatment is not covered by insurance applicable to the activities, I agree to pay all expenses incurred in such emergency treatment. POLICIES & PROCEDURES As a parent, I have read all information concerning The Awakening Arts and give my child permission to be active as a participant. I understand that my child will be asked to participate fully in all activities and will be expected to abide by all rules and policies. I understand that The Awakening Arts is not responsible for lost, stolen or damage of personal property while my child is rehearsing or performing.

I Have Read and Agree to the Terms and Conditions

I Do Not Agree to the Terms and Conditions