Day Camp Waitlist | The New Children's Museum

Please note: All enrollment processed through this form must be approved ahead of time by the Education team. We can only guarantee space in the camps we discuss prior to registration. Thank you!
I am...*
- A Museum member
- Not a Museum member
Member ID*
I am registering...*

Child's Name*
First Last
Child's Age*
Child's Grade*
Day Camp Selection
Select number of days for this camper only. Siblings will be on subsequent pages!
Day Camp Selection
Select number of days for this camper only. Siblings will be on subsequent pages!
Camp Date*
Please list the date(s) you are enrolling in, with approval from the Education team.
The New Children's Museum is committed to providing children the opportunity for full and inclusive enjoyment of camp. Please include any information that might help our team work best with your child.
Please list any allergies or medical concerns that we may need to know to provide a safe environment for your child.
Would you like to add Extended Care?*
Would you like to help send a scholarship student to camp?
The following are examples of what your donation could fund.
- $10 could fund a camper’s supplies for the day
- $20 could fund an art project development
- $50 could fund a camper's supplies for the whole week of camp
- $150 could fund a full week of half-day camps for a Pre-K camper
- $300 could fund a full week of full-day camps for a big kid camper
Total
$0.00

Sibling's Name*
First Last
Sibling's Age*
Sibling's Grade*
Day Camp Selection
Select number of days for this camper only. Siblings will be on subsequent pages!
Day Camp Selection
Select number of days for this camper only. Siblings will be on subsequent pages!
Camp Date*
Please list the date(s) you are enrolling in, with approval from the Education team.
The New Children's Museum is committed to providing children the opportunity for full and inclusive enjoyment of camp. Please include any information that might help our team work best with your child.
Please list any allergies or medical concerns that we may need to know to provide a safe environment for your child.
Total
$0.00

Sibling's Name*
First Last
Sibling's Age*
Sibling's Grade*
Day Camp Selection
Select number of days for this camper only.
Day Camp Selection
Select number of days for this camper only. Siblings will be on subsequent pages!
Camp Date*
Please list the date(s) you are enrolling in, with approval from the Education team.
The New Children's Museum is committed to providing children the opportunity for full and inclusive enjoyment of camp. Please include any information that might help our team work best with your child.
Please list any allergies or medical concerns that we may need to know to provide a safe environment for your child.
Total
$0.00

Parent Information
Name*
First Last
Primary Phone*
Secondary Phone*
Email*
Emergency Contact Information
Name*
First Last
Relationship to Camper*
Phone*
Adult(s) Authorized for Pick-up*
To help ensure the safety of our campers, please designate the name(s) of any adult (including yourself) who is authorized to pick up your child at the end of the day. Please note that campers will not be released to adults who are not on this list. If you need to add additional adults at a later point, you are welcome to do so via email or in person.

Cancellation and Refund Policy*
Programs are subject to change or cancellation due to insufficient enrollment. In this instance, you will be notified at least 7 days in advance if your session is cancelled and you will receive a full refund in the original form of payment. Should you cancel registration for any reason, you must provide notice 14 days before session start date to receive a refund less a 5% administrative fee. Refunds are issued in the form of a check, and may take up to 30 days to process. No refunds will be given within 14 days of session start date. However, camp fees can be allocated toward another session during the same program within the same calendar year. We are unable to offer refunds for days missed due to illness or other circumstances.
- I have read and understand the cancellation policy
Liability Waiver*
All participants and guardians of participants assume all risks for themselves and their minor children which might result from:
· Any injuries resulting from participation in program activities such as bumps and bruises
· The sharing of medical information to necessary Museum staff or medical professionals in the case of emergency
· The administration of epi-pens or other medications if arranged in advance
· My child’s self-administration of epi-pens or medications if not arranged in advance
- I agree
Medical Release*
In case of a medical emergency, I hereby give my permission for my child to be treated by a qualified physician or at a hospital. If necessary to the treatment, transportation by ambulance is also authorized. (Parent or Guardian is responsible for payment of medical treatment.)
- I agree
Photo Policy*
I grant The New Children’s Museum permission to use photos/videos taken during this program in Museum publications and approved media sources such as the daily photo diary shared via Flickr.
- Yes
- No
I affirm that I am or have permission from the registrant’s parent/guardian to enroll the child(ren) in this program and agree to above terms.*
Typing my name below is the equivalent of a certified electronic signature
First Last

Cardholder Name*
First Last
Billing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Credit Card

American Express
Discover
MasterCard
Visa
Card Number Expiration Date Security Code Cardholder Name
Discount code (optional)
Total Cost
$0.00

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