1st-2nd Grade Summer Art Camp: A Day in the Life (Full Day) Price Non-member: $360.00 Member: $210.00 Already a member? Login hereNot a member? Join here.Lost Member ID? Email email@example.comIn the event this program is sold out, please e-mail family programs to be placed on the wait list. Registration Number of Participants 1 2 3 4 5 List of Participants First Name Last Name Birth Year 188.8.131.52.5. EMERGENCY CONTACT & LIABILITY WAIVER Primary Guardian/Emergency Contact Name Address City State Zip Code Home # Work # Cell # Name(s) of Adult(s) who will be dropping off / picking up children Secondary Emergency Contact Name Relation Home # Work # Cell # Physician Name Phone# Insurance Carrier / Group Number / Information Please list any allergies, special needs, or medical concerns that the Walters Art Museum should be aware of Terms and Conditions I understand that although The Walters Art Museum and their respective staff will take all reasonable precautions to insure safety, they cannot insure that I, my children or wards are free from the risk of injury, loss or damage to person or property, and I hereby assume all of said risks for myself, my children or wards. In consideration of the use and availability of the services and facilities involved in The Walters Art Museum by me and the above listed children and wards, if any, I hereby agree to the extent allowed by law to release, relieve, hold harmless and indemnify The Walters Art Museum, and their respective officers, agents, instructors, and employees from all liability and claims arising out of any accident or injury suffered or incurred by me or said children or wards while participating in the Walters Summer Camp. Further, in case of accident, injury or sudden illness, if I or the emergency contact cannot be reached in an emergency, I hereby grant permission for my child or ward named above to receive all appropriate medical treatment necessary. I authorize any first-aid or emergency medical care which may become necessary for my child or ward while participating in the Walters Summer Camp and agree to pay for all costs of treatment. I also authorize that my child or ward may be transported to a local medical facility. By executing this document, I hereby assume, on behalf of my child or ward, all risk of injury or loss to which he or she may be exposed. By submitting this form, I have read and hereby agree and consent to this Liability Waiver and Emergency Medical Authorization.