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Complete the form in full
Phone Numbers where you can be reached during camp hours:
If parents are not dropping kids off at camp:
Phone Numbers where the guardian(s) can be reached during camp hours:
Will anyone else be picking up or dropping off your child at art camp:
Emergency Contact Information: (Other than a parent or guardian. Please choose two local people)
Other Student Information
Is this your child’s first time at Jackson Art Camp?
We will be staggering times for drop off and pick up since parking is limited.Would you prefer to drop your child promptly at
Will you be carpooling
As parent and/or legal guardians of the above child who is enrolled in a program with Jackson Art for the duration of the camp authorize Jackson Art to carry out standard first aid and CPR, including treatment for severe allergic reaction to insect stings and to arrange for emergency care for my/our child at a local hospital as deems necessary. I authorize hospital personnel to provide emergency medical treatment for my/our child
I/we also understand our child may be photographed during participation in art camp. Any photographs of my child may be used in brochures, press releases or promotional materials without any form of acknowledgement
I confirm that the information given in this form is true, complete and accurate.

Creating a safe environment is essential to our program. Disruptive behavior, physical aggression, violence, disrespectful behavior towards others or their property, theft or possession/use of dangerous items will not be tolerated and could result in immediate dismissal from the program. No refunds will be administered for early dismissal/suspension. Damage to equipment due to misbehavior will be the expense of the parent.

Bullying occurs when one or more children (the bully/ies) target a child (the victim), such that a reasonable person would recognize that the bully’s action will physically or emotionally harm the victim, insult/demean the victim, or damage their property. Camp Administration has a zero tolerance policy pertaining to physical actions against others, stealing, bullying, and disrespect for staff and property. These actions are disruptive and result in negative experiences for fellow campers. Jackson ART staff reserve the right to suspend or terminate a camper’s participation at any time for failure to adhere to the rules and values of camp. Please understand that there will be no refunds given to children who are suspended or terminated for behavior issues.

Children are expected to display appropriate behavior at all times. To assure the maximum enjoyment of the
program by all participants, your child is expected to:

1. Be polite, courteous, and respectful to all participants, staff, and nature at all times.
2. Refrain from causing harm to self, other participants, and staff.
3. Use equipment, supplies, and facilities properly.
4. Stay with the group at all times and respect outdoor boundaries.
5. Listen quietly while others are speaking and wait for permission to speak.
6. Follow directions when they are given.
7. Put face masks on at certain times during the day and use hand sanitizer when directed.
8. Do not share food/drink and keep social distance

By signing below, I am stating that I have read and agree to abide by all of our policies at art camp. Futhermore, I certify that I have discussed all the policies, and their meanings and consequences, with my child(ren)

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