Camp Bloom Holiday Workshop grades 3-8 CLASS FULL || Hanover Arts and Activities Center

Camp Bloom Holiday Workshop grades 3-8 CLASS FULL

November 16th, 2020 | Home

This class is FULL Please check back for other programming in the future!

Join Andrea Ferment of honeygirl flowers to create nature-inspired

gifts perfect for holiday giving!

Saturday, December 19, 2020 from 10AM-12PM

Grades 3-5

Camp Bloom Jr. Home for the Holidays WORKSHOP

Participant 1 (child) Name*
First Last
Nickname
Address*
Street Address City State / Province / Region ZIP / Postal Code
Age as of July 1, 2020
School Attending in Fall 2020
Grade in Fall 2020
Participant 2 (child) Name
First Last
Nickname
Address
Street Address City State / Province / Region ZIP / Postal Code
Age as of July 1, 2020
School Attending in Fall 2020
Grade in Fall 2020
Parent/Guardian Name*
First Last
Email*
Cell Phone*
Work Phone
Other Parent or Legal Guardian Name
First Last
Other Parent or Legal Guardian Cell Phone
Email*
Cell Phone*
Work Phone
Other Parent or Legal Guardian Name
First Last
Other Parent or Legal Guardian Cell Phone
EMERGENCY CONTACT INFORMATION
in the event that a secondary contact must be made.
Name*
First Last
Relationship
Emergency Contact Cell Phone*
PERMISSION
May we photograph/videotape you/your child at The Center?*
- Yes
- No
May we use photos taken of your/your child in our flyers, brochures, newsletters and/or website for publicity?*
- Yes
- No
Name(s) of people who may pick up your child(ren) from the Center*
Only these people will be allowed to sign your child(ren) out from the Center.
Name(s) of people who MAY NOT pick up your child(ren) from the Center.
Payment Method*
- I will send in a check by December 12, 2020 (payable to HAAC, PO Box 486, Ashland 23005)
- I will pay using a credit card by December 12, 2020(PayPal link below)
COVID 19 Procedure Agreetment
I agree to abide by The Center's COVID guidelines.
Due to state guidelines on COVID, The Center requires that attendees wear masks, adhere to social distancing guidelines, and agree to health checks and sanitation guidelines during camp sessions.
Parents and guardians agree to use best judgement for allowing children to attend and will not hold The Center liable for any illness.
MAILING ADDRESS: Hanover Arts & Activities Center PO Box 486 500 S. Center Street Ashland, VA 23005
Special Instructions, Allergies

Pay online here!

Camp Bloom Holiday Workshop grades 3-8 CLASS FULL

This class is FULL Please check back for other programming in the future!

Camp Bloom Jr. Home for the Holidays WORKSHOP

EMERGENCY CONTACT INFORMATION

PERMISSION