Register for Summer Camp

Use the form below to register for Creative Clay's Summer Camp!  We look forward to seeing you there!

Please complete the form below

Summer Camp Student Name *
Summer Camp Student Name
Date of Birth
Date of Birth
Phone Number *
Phone Number
Mailing Address
Mailing Address
Photo Release
I Allow Photographs Of My Child To Be Used For Public Relations And Archival Purposes
My Child has a Disability
Liability Release *
With regards to the camper named above, I, the undersigned parent or legal guardian, do hereby release Creative Clay, Inc. or any person acting on its behalf from liability for any bodily injury sustained, or loss or damage of any personal items, while on the premises or participating in any activity sponsored by Creative Clay, Inc. Furthermore, the undersigned agrees that in the event that medical attention is needed due to accident or illness, Creative Clay, Inc., shall be permitted to seek medical services as it shall be deemed necessary and appropriate through EMS/911 and/or local hospitals.
Weeks Attending
Please Check The Weeks Your Child Will Be Attending
Statement of Consent *
In the event of an emergency or non emergency situation requiring medical treatment, I, the guardian, hereby grant permission for any and all medical and/or dental attention to be administered to my child in the event of an accidental injury or illness, until such time as I can be contacted. This permission includes, but is not limited to, the administration of first aid, the use of an ambulance, and the administration of anesthesia and/or surgery under the recommendation of medical personnel.