Creation Station

CREATION STATION REGISTRATION FORM

Registration Fee: $175 per camper, per session. Please submit a Registration Form for each camper.

Creation Station
8/19/2018 8:15:25 AM
Please check the box for the session or sessions your camper will be attending:
SELECT ONE T-SHIRT FROM THE AVAILABLE SIZINGS:
T-Shirt
Payment Method
Payment is due in full by Friday, June 15. Please contact Cortney Betschart at CreationStation@galloarts.org to finalize and pay for your order.
Please select your payment method below:
$

CREATION STATION CAMP EMERGENCY CONTACT INFORMATION

Please provide additional information into the areas below not already given:

Who is permitted to pick up your child?

Your child will be released only to listed persons. Please contact us if there are any additions or changes.

In addition to the parent/guardian information listed on the Registration Form, the following should be contacted in case of an emergency

CREATION STATION BEHAVIOR POLICY

Please review the following with your camper and ensure they understand the following expectations.

Parents/Guardians will be notified if:

  • A camper disturbs or hurts others, either verbally or physically.
  • A camper damages equipment or property.
  • A camper places himself/herself in a dangerous situation.

Cell Phones: The use of cell phones, tablets or ipods are prohibited during camp sessions. If devices are seen more than once in a day they will be taken away from the camper and returned to a parent/guardian at check out.

CAMPER RELEASE AND CONSENT

I hereby give my child permission to participate in camp activities. I fully assume all responsibility for injuries he/she may receive or articles lost while participating in these activities and herby release the Gallo Center for the Arts from any liability for any injury my child may sustain. I also give my permission to the Gallo Center for the Arts to use photographs or videos of camp sessions and performances that contain an image of my child for the limited purpose of promotion and advertising.

The Gallo Center for the Arts is not responsible for campers dropped off early or not picked up on time. Check in will begin 15 minutes prior to the beginning of each session and 10 minutes following each session and check out will end no later than 10 minutes following each session.

I understand that this form, along with the Registration Fee is due by June 15th or my camper will not be enrolled.

Change the CAPTCHA code

Please enter correct code above then click Submit!