Camper Date of Birth *

MM

DD

YYYY

Name of Legal Guardian *

First Name

Last Name

Legal Guardian Phone *

Please list the phone number of the legal guardian, and make sure this is a working number, as it will be used in the event of any emergency or if we need to reach you during camp time for any reason.

(###)

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Pick Up Phone *

Please list the phone number of the pick up person, it will only be used in the event of any emergency or if your child is not picked up.

(###)

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Pick Up Protocol *

PICK-UP PERSONNEL are NOT ALLOWED TO ENTER our studio, this also applies also at drop-off. This is to limit traffic to our studio & for the safety of our campers & staff. Please DO NOT ENTER our studio, kindly wait outside for your child at pick-up time. If you are sending a caregiver in your place at pick up, please brief them to WAIT OUTSIDE. If you need to reach your child during camp time, please email us or call us and we will make sure they get the message. Camp starts & ends at the advertised times on our website. EXTENDED DAY CAMP FEES can be purchased on our website and must be paid for at the time of enrollment. If you are late at PICK UP extra fees apply. It is $25 overtime for one hour and under per person. Please check that you understand & agree to this rule.

I UNDERSTAND & AGREE

Snacks, Drinks, Belongings *

We are a NUT FREE studio, if you are bringing snacks, please do not bring any nut products. Please tell your child NOT TO SHARE any food, snacks or drinks with other campers or members of staff. Please DO NOT share any belongings, food, or drinks with any other student or staff member. Please do not bring andy non-essential items to our studio. This includes bags, bicycles, toys, stuffed animals.

I UNDERSTAND & AGREE

Lunch Breaks & Safety *

If you are signing up the attendee(s) for a FULL CAMP DAY, lunch will be from 12pm-1:30pm. If you are signing up a Teen Camper(s) please be advised they are NOT ALLOWED to leave the group or take lunch elsewhere and must stay in their group at all times. They are not allowed to go purchase lunch and must also bring a nut-free lunch from home.

I UNDERSTAND & AGREE

Rescheduling & Cancellation Policy *

Cancellation + Rescheduling Policy: To reschedule a class, a Rescheduling Ticket must be purchased at least 24 hours in advance. If you fail to notify us in time (at least 24hrs), you are not entitled to any make-ups, rescheduling, credit, or refunds. PLEASE NOTE during the ongoing crisis, if a class is canceled due to situations beyond our control, CWAS will not be issuing any refunds. Instead, you will be offered the option of transferring to an ONLINE experience. We will also offer you the option of credit valid for six months from the date of purchase and to be used on any classes or activities. You may also transfer this credit into a Gift Certificate to gift to someone if you prefer.

I UNDERSTAND & AGREE

Photo Release *

CWAS may take photographs or videos of artwork or work in progress at the studio during classes which may/ or may not be used for publicity purposes. These photos may be published on our social media pages or platforms &/or website, &/or may be posted on other promotional materials or in other promotional media. NO STUDENT will be identified in these photographs or tagged/identified in any photo without their consent. Please note, we archive all work created at our studio. If you do not wish your child to be in a group photo, please state this clearly in the notes section of this form. All photographs are the property of CWAS and we do not allow these photos to be published by third-party or by any other media or source. We value & are protective of our students, their interests & privacy.

I UNDERSTAND & AGREE

Liability Waiver *

By registering for this program, I AGREE & ATTEST to all the following, on behalf of myself named herein as a participant in this program or any minor participant (s) mentioned herein that I represent and am legally responsible for. I am aware of the risk of Covid-19 associated with participating in any in-person experience, including all Creatively Wild Art Classes & Programs I will NOT attend this program mentioned herein if I am currently experiencing symptoms of fever, fatigue, difficulty breathing, or dry cough or exhibiting any other symptoms relating to COVID-19 or any communicable disease, or have experienced/exhibited any of these symptoms within 14 days of this event. I AGREE on behalf of myself as the participant or participants named herein to agree to hold harmless, release, waive and indemnify Creatively Wild Art, Inc, its members, employees, agents, successors and assigns to any & all injuries, illness, medical conditions, claims, liabilities, damages, expenses or judgments from participation in any and all Creatively WILD's programming and/or activities, including use of the area(s) and/or equipment, participation in a class or program at Creatively Wild Art, Inc. Any defense, cost or expense arising out of any and all claims, injuries, liabilities or damages arising out of or related to participation in any and all of our programming, as set forth, including attorneys' fees. I AGREE NOT TO ATTEND this program if I as a participant or any minor participant(s) mentioned herein, or any member(s) of my household, have been diagnosed with COVID-19 within 14 days of this program. I CERTIFY the information that I have entered herein to be accurate and true. I am at least 18 years old and I have read and agree to the terms of this agreement. I CERTIFY that I, & all other participants named herein in this form do NOT currently have Covid-19. I CERTIFY that I, & all other participants named herein am not currently living with anyone who is suffering or recovering from Covid-19 or any symptoms related to it. I CERTIFY that to the best of my knowledge, in the past 14 days, I or the above minor mentioned herein above have not been in close contact ( or within 6 feet for at least 10 minutes) with anyone who tested positive for COVID-19 or who has or had symptoms of COVID-19? I AGREE + CERTIFY that I or any participant(s) mentioned herein are expected to stay away from any in-person class at CWAS if I develop any COVID-19 symptoms or flu-like symptoms, and that I will notify the studio of my situation immediately if this should happen.

I UNDERSTAND & AGREE

Legal Waiver *

I CERTIFY that I am the parent or legal guardian of the above-mentioned minor participant(s) mentioned herein & confirm that the information I have entered here is accurate and true. I CERTIFY that I am responsible for any caregiver or guardian mentioned herein and guarantee that all of the above is true and correct. I CERTIFY that I am at least 18 years old and I have read and agree to the terms of the above agreement.

I CERTIFY