NEWS & EVENTS
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Summer Camp Registration
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    TO BE COMPLETED BY PARENT OR LEGAL GUARDIAN. 

    All sections are required for registration. After you have completed registration, you must also complete and return
    the following forms prior to the start of camp:
  • Health Services Medical Treatment Authorization
  • Waiver and Consent for Self-Administration of Prescription Medication Form 
  • Image Release Form 
  • Code of Conduct Acknowledgement Form
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    CAMPER INFORMATION  

     

                                    

      

    First Name Last Name Middle Initial
     
     
              

     Birth Date 

       [None] Select a Date Delete the Date 

     

    Home Mailing Address   

     
     

    City      State Zip Code Country  
               

     

    Home phone 

       


     

    PARENT/LEGAL GUARDIAN INFORMATION 

     

     

     

    Parent’s/Legal Guardian’s Last Name     First Name
         

     Parent’s/Legal Guardian’s email address (We will use this email to share information about the camp.)  



     

     

    Daytime Phone Home Phone Cell Phone 
           

     


     

    Camper Pickup: Person who will be picking up the student.  

     

    Name Phone Relationship to participant
            

     

     

    Student’s grade next fall:  

     

    T-shirt size:   

    Do you wish to be put on a waiting list if the program is full?

    1.   
                                   

     

    How did you hear about our camps? 

      From a website (please indicate which one)  

     

     

     


     


     

     

    RELEASE

      

    I/We, the undersigned, individually and as parent(s) or legal guardian(s) of , 
    a minor, ask that he/she be admitted to participate in this camp sponsored by Capital University. In consideration of such admission, I/we do hereby agree to release, discharge, and hold harmless Capital University, its officers, agents, and employees of and from all causes, liabilities, damages, claims, or demands whatsoever on account of any injury or accident involving the said minor arising out of the minor’s attendance at the camp or residence in University housing, or in the course of activities held in connection with the camp.   


    Signature (At least one is required to complete registration.) 

     


     

    Parent’s/Legal Guardian’s signature Date


     

    Enroll the camper in:

                                   



    Registration Fee 

     

      

     

    QUESTIONS AND COMMENTS:  

     

    Creative Arts Camps Registration  

     

    Attn:  Dr. Sharon Croft 
    Department of Communication, Huber-Spielman Hall 
    Capital University 
    Bexley, OH  43209 
    Fax:  614-236-6169 
    Phone:  614-236-6338 

     

    By clicking "Submit Form," you are consenting to the terms and conditions on this form. After clicking "submit" you will be led to our secure payment server to complete registration payment.