Mythology Camp 2019 Registration
Application for Admission to Glencairn Museum's Mythology Camp
Please fill out one application form per child.
Completed registration and payment are due by June 1, 2019.
Limited financial aid available. Contact Glenn Greer at 267-502-2984 or Glenn.Greer@glencairnmuseum.org.
Email address *
Name of camper *
Your answer
Gender of camper: *
Which session will your child be attending? *
Address *
Home street address, city, state, and zip code
Your answer
Phone number of parent/guardian *
Please provide the best phone number to reach you, and all appropriate alternate phone numbers
Your answer
Person to notify in case of emergency *
Both name AND phone number to reach them
Your answer
PLEASE NOTE: Glencairn staff is not legally allowed to administer any type of medication, including pain and allergy medication. Please confirm that you grant the Glencairn Mythology camp staff permission to administer/provide basic first aid in case of an injury (i.e. apply ice, disinfect and dress cuts and bee stings). *
Allergies and Dietary restrictions (if any)
Your answer
Special needs (if any)
Your answer
How did you hear about the Glencairn Mythology Camp?
Your answer
Please confirm permission for your child to attend this camp *
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