Summer Camp Registration Form

Museum Hours

It’s Wednesday 7:34 am — Sorry, we’re closed

Monday – Tuesday:	Closed
Wednesday – Saturday:	10:00 am – 5:00 pm
Sunday:	1:00 pm – 5:00 pm

Thank you for signing up your child for a summer camp at the History Museum on the Square! Please make sure you have purchased admission for the summer camp you'd like your child to attend. Click here to buy tickets.

This digital form must be completed for your child to attend and participate in any History Museum Summer Camp.

Camper Registration Form

Child Information

Camper's Name(Required)

First Last

Birth Date(Required)

What grade is your camper entering?(Required)

Camp child is attending:(Required)

Parent/Guardian Information

Parent/Guardian Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country

Phone(Required)

Email(Required)

Please list the full name of all adults who have permission to pick up your child from the event. Only those listed here will be permitted to pick up the child, and they must show photo ID.(Required)

Did another camper's parent refer you?(Required)

Yes

If yes, please enter the name of the person who referred you.

Emergency Contact(s)

Emergency Contact 1(Required)

First Last

Relationship(Required)

Phone(Required)

Emergency Contact 2(Required)

First Last

Relationship(Required)

Phone(Required)

Medical Information

Does the child have any allergies, chronic illness, or medical conditions? If yes, please describe.(Required)

Is the child prescribed an inhaler, EpiPen, or other emergency medicine? If yes, please explain any instructions.(Required)

Please list any medications that they will be taking while at the event.(Required)

After reviewing the planned activities, do you feel your child needs any restrictions or accommodations? If yes, please describe.(Required)

Summer Camp Policy

You will receive an additional form in a follow-up email regarding camp permissions, hold harmless agreement, and photo release. Please read, sign, and submit the completed paperwork on or before the first day of the camp. Both this digital information form and the signed paper form must be completed and submitted to the History Museum on the Square for your child to attend summer camp at HMS.

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Summer Camp Registration Form

Camper Registration Form

Child Information

Parent/Guardian Information

Emergency Contact(s)

Medical Information

Summer Camp Policy

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