Registration Form (Youth)
The NC Maritime Museum at Southport is continuously taking steps to provide easy access to signing up for programs, lessening our carbon footprint, and creating safe spaces for learning. As the COVID-19 restrictions have been adjusted in North Carolina, the museum is now allowed to hold classes in-person. Fill out this form to register up to four participants for classes/programs. Need to sign up more? Simply fill out another form. Once completed you will receive a paypal link to the same email address you list on this form.

**FORM AND PAYMENT ARE REQUIRED FOR YOUR SPACE TO BE CONSIDERED RESERVED.**

PLEASE NOTE: This schedule is tentative due to changing COVID-19 restrictions. Sessions may be changed or canceled with little notice. Full refunds will be issued if classes are canceled.

Program Options:
- Homeschool Friday (HMSKLFri) is for Ages 7 - 17 years old. Class will be capped at 20 students and occur spaced apart and outdoors. In the event of inclement weather the class will be moved virtually and you will be notified through email by 10 a.m. the day of the program. Price: $7 + tax
- Little Mariners (LM) camps is for Ages 4 - 6 years old and an adult is required to stay for the duration of the class. Class will be capped at 20 students and occur spaced apart outdoors. In the event of inclement weather the class will be moved virtually and you will be notified through email by 10 a.m. the day of the program. Price: $7 + tax
- First Mates (FM) camps are for Ages 7 - 12 years old. These multiple half-day camps will occur on-site and distanced outdoors. Curriculum is subject to change. In the event of inclement weather the class will be moved virtually and you will be notified through email the day before the program by 4 p.m. Price: $45 + tax
Email *
Parent/Guardian Contact Name *
Contact Phone Number *
Contact Email Address* This is what payment link will be sent to *
Current Zip Code *
Emergency Contact Name *
Emergency Contact Phone Number *
Select your preferred hospital *
Required
I acknowledge that in order to participate in classes/programs with the NC Maritime Museum at Southport: Masks must be worn the entire time, Wellness checks will be administered prior to entry of class/program, and distancing will be observed. To acknowledge please type your name *
I understand the North Carolina Maritime Museum at Southport staff/volunteer will contact 911 in the event of an emergency. I give permission to the North Carolina Maritime Museum staff to give first aid treatment in the case of a minor injury. I know that I or my emergency contact will be notified immediately via phone. The museum will follow up with an incident report. To acknowledge please type your name *
I understand that images of me or my child/participant will be taken during class for promotional purposes: Newspaper, electronic media (internet), social media, newsletter, calendar, and/or flyer. They will not be identified without parental consent. To acknowledge please type your name *
I understand that images of me or my child/participant will be taken during class for promotional purposes: Newspaper, electronic media (internet), social media, newsletter, calendar, and/or flyer. They will not be identified without parental consent. To acknowledge please type your name *
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