Einstein Time Fall 2021 After School Program

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Thank you for signing your child up for Einstein Time! We are excited to get started.

If you are registering more than one child, please fill out one form for each.

The following form includes Registration Confirmation and Emergency Information. Please fill out this forms fully at least 7 days before the first day of the program. On the first day of the program, please be prepared to sign our Code of Conduct form and have the option to sign our Photo Release Form. Copies of both can be found at childrensdiscoverymuseum.org/camp.

All programs must be paid in full at least 4 days before the first day. Without payment and this form, we are unable to hold your child's spot. We do provide an online-payment option, which you can access through the Einstein Time webpage. Visit childrensdiscoverymuseum.org/camp. You may also pay by sending us a check to Children's Discovery Museum, 7 Eustis Parkway, Waterville, ME 04901.

Thank you again and please contact the museum with any questions you may have!

How did you hear about our program?

Facebook

From a friend

Children's Museum Newsletter

Through a nonprofit that the museum reached out to

The museum website

From a flier sent home from school

Other:

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Child's Name *

Child's age at start of camp *

Parent/Guardian Name(s) *

Email Address *

Address *

Best telephone number(s) to reach you with registration questions *

Please list where you will be and what would be the best way to reach you during camps *

Allergies or food restrictions *

Please notify us if someone else other than the child's parent/guardian will be dropping off or picking up:

Anything else we should know?

I, the parent/legal guardians of the above named child, hereby give my approval to his/her participation in this program. I hereby release, indefinitely and hold harmless the Children’s Discovery Museum, its staff, its volunteers, and/or members of its Board of Directors from any responsibility, claims or liability in connection with my child’s participation in this program. I assume the risk of any accident, injury, or illness which may result from or during the program. In case of the need for emergency medical treatment, I hereby give permission for such treatment to be given if I cannot be reached.

I have read and understand the above agreement. I understand that this form does not hold my child's spot until the payment has been received

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