To register for Day Camps for kids please use this form:https://docs.google.com/forms/d/e/1FAIpQLSeGHpFpitchQ0v8YcT1LhOcDA8RJjrDZrV5a2AB6qqUjVsiPw/viewform
Please see our website for details, including dates. http://c-4a.org/summer-programs/
One person may enroll for multiple programs on one form. Additional people need a separate form.
Your invoice will also offer a way to pay using your credit card. A $4.95 service fee applies for each credit card transaction.
You may pay with hard copy check made out to C4A and mailed to us a 103 North Race St, Urbana, IL 61801 or deposited in one of our onsite drop boxes.
You may also pay with cash at our front desk at 202 West Main St in Urbana. Our desk is staffed Monday-Friday from 10:30 am to 2:00pm. You may also find us there during other hours.
I understand that payment must be made in full at least 2 weeks before the start of each activity that I register for, and that I may forfeit my place if payment is not made.
Payment may be made by check or cash. Payment via electronic check or credit card is available through our emailed invoicing. PayPal is available on our website.
Please read and understand the Consent and Acknowledgement and Medical Release and Authorization below and then sign in the Confirmation Area below before submitting this form.
In case of injury to said student, I hereby waive all claims against the Community Center for the Arts including all instructors, staff, and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event.
Photographs taken during our activities may be used for our promotional purposes without your further consent. We will not publish or release photos that are inappropreate or identify students by name or otherwise reveal their identities.
Students' names may be listed in programs, on CDs or DVDs, or other media. They will not be listed in a way that identifies individuals. Said media will be available to the student and his/her family.
Most activities will take place on C4A premises, but there may be off-site activities that are announced in advance.
Students, their families, and their guests are all responsible for their own safety during participation in our events, whether on or off our premises.
Students, their families, and their guests are all responsible for their own belongings and equipment during participation in our events, whether on or off our premises.
Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named student. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me.
Permission is also granted to the Community Center for the Arts and its affiliates including Directors, teachers, staff, and volunteers to provide the needed emergency treatment prior to the child’s admission to the medical facility.
Release authorized on the dates and/or duration of the registered season.
This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
*If an adult student, the same release and authorizations apply, with contact attempt being made with designee listed under emergency contacts.