2025 CAC Summer Arts Camps - Child Information Form
This form MUST be completed for EACH child attending camp no later than the child's first day of camp! For online registrations, please also make sure you submit your payment via the PayPal buttons back at caccc.org! There will also be paper copies of this form available to fill out at CAC.

*** PLEASE READ CAREFULLY AND FILL IN ALL PARTS OF EACH QUESTION. Missing information will result in an incomplete registration. We thank you for your cooperation!

Event Address: 1217 Menoher Blvd. Johnstown, PA 15905
Contact us at (814) 255-6515 or info@caccc.org
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Email *
Parent/Guardian Name(s) (First & Last) *
Child's Name  (First & Last) *
Child's Current Age *
Child's Grade (24/25 School Year) *
Child's School District (24/25 School Year) *
Phone Number *
Email *
Home Address  *
City, State, AND Zip Code *
Are you a CURRENT Community Arts Center member? (Have you paid your membership dues within the past year? CAC membership information can be found online at caccc.org/membership-1) *
Child's T-Shirt Size (Adult sized shirts) *
Which camp is your child attending? (If attending multiple weeks, choose all that apply) *
Required
Emergency Contact 1 (Name, phone #, AND relationship to child) *
Emergency Contact 2 (Name, phone #,  AND relationship to child)
 *
Emergency Contact 3 (Name, phone #,  AND relationship to child)
Does your child have any known health conditions? *
If "yes", and it is something CACCC staff & instructors should know about, please describe:
Does your child require medication during camp hours for health conditions? *
If yes, what and when is it administered? (Please note, the Community Arts Center, its staff, and its volunteers are not permitted to administer medication of any kind.)
Does your child have any allergies?
Does your child have any learning or physical conditions that our staff should be aware of?
I understand my child will need to independently apply any sunscreen that I supply. *
Required
I understand my child will need to independently apply any insect repellent that I supply. *
Required
I understand that my child MUST be potty trained in order to attend camp. If a child has more than one isolated accident, CACCC reserves the right to remove the child from the remainder of camp with no refund. *
Required
I understand that I will have to pay online using the PayPal button at caccc.org before/after submitting my registration. (For FREE week of camp, I must still notify the Arts Center of my registration either by phone or via PayPal.) *
Required
I have read and understand the parent information guide that is available for download at caccc.org. *
Required
I give my permission for photos or videos to be taken of my child which may be used for promotional purposes in printed media, social media, and broadcast media.     *
Required
I/we understand and agree on behalf of my/our minor child and/or other individual over whom I/we have guardianship (hereinafter “minor”) that the Community Arts Center of Cambria County and its directors, employees, instructors, and volunteers will not be responsible nor liable for any damage and/or loss and/or injury to persons and/or property occurring during my/our minor’s participation in this class, camp, workshop, seminar, show, event, etc.  I/we understand my/our minor is participating in this class, camp, workshop, seminar, show, event, etc., at my own risk.  Furthermore, I/we understand that the Community Arts Center of Cambria County reserves the right to refuse entry and/or service, and/or to remove artwork, artists, patrons, or spectators at their sole discretion in order to maintain a family-friendly environment, and for the comfort and safety of other participants and patrons.  I/we understand and agree that I/we shall be responsible for the conduct of my/our minor and any injuries or damage incurred due to the minor’s actions or negligence. *
By submitting this form, I authorize that I agree to pay for all Art Care services in advance. I have informed the Community Arts Center of Cambria County of any physical, social, emotional, or health conditions my child has that could affect their participation in any or all activities or with other children. *
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