CAMP REGISTRATION FORM

We will email you to confirm your child's enrollment once we receive your completed registration form AND payment.

* Indicates required field

CAMP *

CAMPER INFORMATION

First name *

Last Name *

Child Age *

Child Gender *

Male Female

Second Child Name *

First

Last

Second Child Age *

Second Child Gender *

Male Female

PARENT/GUARDIAN INFORMATION

Parent/Guardian 1 *

First

Last

Relationship to Camper *

Parent Phone *

Email *

Emergency Contact Name *

First

Last

Does your child have any food allergies or medical concerns we should know about? *

Emergency Contact Phone *

Paint N Play RVA Policies, Release of Liability, and Assumption of Risk Agreement

1) Behavioral Problems. I understand that if my child is continually disruptive, is physically or verbally abusive toward the instructor or other students, or exhibits other ongoing behavioral problems during the class, that I will be notified by phone call to come pick-up my child immediately and will not receive any refund of tuition.
2.) I knowingly and freely assume all such risks, both known and unknown, and assume full responsibility for my child’s participation in Paint N Play RVA LLC activities. I acknowledge that my child does not have any allergies or health conditions that would prevent him or her from participating in the Paint N Play RVA LLC activities and that participant has adequate health insurance to cover the costs of treatment in the event of any injury.
3.) I, for myself and/or my child(children) and on behalf of my heirs, assigns, personal representatives and next of kin, herby release and hold harmless Paint N Play RVA LLC and all persons acting on their behalf, and their agents or employees, and if applicable, owners, lessors of the premises used to conduct the activities (“releases”) with respect to any and all injury, disability, death, or loss to person or property.
4.) Cancellation/Refund Policy: If you need to cancel please notify us no less than 14 days prior to the first day of camp. With 14 days prior notice, your registration fee will be refunded less a $50 processing fee. With notification provided less than 14 days before camp, we will not be able to provide a refund. Camp times and dates are subject to change. Paint 'N Play RVA, LLC. reserves the right to cancel programs when necessary or if a 7 camper minimum is not met. All fees will be refunded if this should occur.

***I have read the Paint N Play RVA Event Policies, Release of Liability, and Assumption of Risk Agreement.
By typing my name and initialing in the box below, I am authorizing the participation of my child and have accepted the term***

Guardian Full Name *

First

Last

Guardian Initials *

I give Paint 'N Play RVA LLC permission to use photographs taken during camp activities on their website and/or social media business page. *

NO, I DO NOT GIVE PERMISSION YES, I GIVE PERMISSION

Press submit form and be sure to purchase your camp

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PAINT 'N PLAY RVA