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T. W. Wood Gallery - 2019 Summer Art Camp Registration Form
(Kate and Margaret: When a parent wants to enroll for a camp, they would click on a link on the website. The website would take them to this form where they enter the data)

T.W. Wood Gallery; 46 Barre St., Montpelier, VT 05602; in the Center for Arts & Learning; 802-262-6035;
Email: info@twwoodgallery.org; Website: www.twwoodgallery.org

Email address *
Parent or Guardian Name (1): *
Your answer
Parent or Guardian Name (2):
Your answer
Camper 1 Name: *
Your answer
Camper 1 Birthdate: *
MM
/
DD
/
YYYY
Camper 1 Grade: *
Your answer
Camper 1 M/F: *
Camper 2 Name:
Your answer
Camper 2 Birthdate:
MM
/
DD
/
YYYY
Camper 2 Grade:
Your answer
Camper 2 M/F:
Address Information:
Street: *
Your answer
Street 2:
Your answer
Town: *
Your answer
State: *
Required
Zip Code *
Your answer
Phone # 1 *
Your answer
Phone # 1 - Cell
Your answer
Phone # 2
Your answer
Phone # 2 - Cell
Your answer
Camp Information:
Camp Hours are 9:00 AM - 5:00 PM (drop off 8:30 AM). All Camps are held at the T.W. Wood Gallery.
Check Which Camps You Are Registering For: *
Medical Care Permission:
Attention: So we may best serve all campers, if a child has a dedicated one-on-one para professional assisting during the regular school year, please arrange for the full-time aide to similarly assist during camps.
The T.W. Wood Art Camp staff has my permission, in an emergency, to obtain medical care for Camper 1 (Checking YES confirms authorization): *
Required
The T.W. Wood Art Camp staff has my permission, in an emergency, to obtain medical care for Camper 2(Checking YES confirms authorization): *
Required
Please list any food allergies, medical requirement or restrictions (write None if there are not any issues): *
Your answer
T.W. Wood Camper Transportation Information:
This information pertaining to walking, biking home independently or if another person(s) has permission for pick up.
Please authorize if your child(ren) are permitted to walk or bike home independently. *
Required
Please authorize other people allowed to pick up for child(ren) at the end of the day (if no one, write None): *
Your answer
T.W. Wood Photography of Camps:
Please authorize if the gallery can take photographs/video of my child(ren) during camp for archival, publicity and social media purposes: *
Required
Camp Fees and Payment: Each camp is $340 per week (TWW Members, $315). Will payment be made by:
Click Here for Payment of Camp(s)
Kate and Margaret: this will take the parents back to the website where there will be a page with all the payment information and where they will use their credit card to make payment.
Submit
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