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ART AND NATURE CAMPRT AND NATURE CAMP

www.youthink.orgTo register: 1. Fill out the application at https://

webformsrig02bo3.blackbaudhosting.com/51145/Art--Nature-Camp2. Scan and email or fax the Participation Contract in this packet to Carolina Couto

Cervera at (323) 761-8356 or Carolina@youthink.org by Mon, July 2 .

> > > Engag ing Students in Contemporary I s sues and C iv ic Act ion Through Art

Join us for a 3-day Art & Nature CampMon, July 8 - Wed, July 10, 2013

9:30 am - 2:30 pm dailyat Solano Canyon

871 Academy Road, LA (Lincoln Park).

Activate and beautify a vacant lot as a native garden and

community space.

Learn techniques in native gardening, clay, and spraycan

art.

Create art pieces to beautify the neighborhood on

recycled wood.

Meet new people and have fun!

Participation involves attending ALL THREE DAYS of camp

Offered by the Art & Nature Collective

Like us on Facebook

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7/28/2019 Art and Nature Camp Packet

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A program of the Zimmer Childrens Museum6505 Wilshire Boulevard, Suite 100, Los Angeles, CA 90048Tel.: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

Engaging Students in Contemporary Issues and Civic Action Through Art

youTHink Art & Nature CampSTUDENT REGISTRATION FORMArt & Nature Camp will meet for three consecutive days. To participate, you must attend ALL3 sessions. The dates are Monday,Tuesday, Wednesday, July 8, 9 and 10, 2013. Eachsession will be from 8:30 am- 2:30 pm at Solano Canyon, 871 Academy Road, LA (LincolnPark).

This camp has a limited number of openings. The openings will be filled on a first come, firstserved basis, and then we will create a waiting list. Please submit your Registration FormNOW to ensure your spot in the workshop. Application is due Tuesday, July 2, 2013. Please

scan and send to Carolina Couto Cervera atCarolina@youthink.orgor via fax to323.761.8990 or via paper mail to 6505 Wilshire Blvd. Suite 100, LA, CA 90048.

NAME:

Parent/ guardian contact name:

Phone: Cell phone:

If I am not available, please call this person in an emergency:Phone number:Relationship to student:

******************************Participation Contract:I am registering to participate in youTHink Art & Nature Camp.

My parent/ guardian and I understand and agree to the following:

We understand that the workshop is three days (9:30 am 2:30 pm), and that I mustattend all the sessions to participate.

We understand that youTHink can provide transportation to and from camp. Weunderstand that if we request transportation, we are committing to be present andprompt at the shuttle stop.

We understand that although we are not being charged to participate in this camp, itis valued at $300/ student.

mailto:Carolina@youthink.orgmailto:Carolina@youthink.orgmailto:Carolina@youthink.orgmailto:Carolina@youthink.org

7/28/2019 Art and Nature Camp Packet

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A program of the Zimmer Childrens Museum6505 Wilshire Boulevard, Suite 100, Los Angeles, CA 90048Tel.: (323) 761-8311 Fax: (323) 761-8990www.youthink.org

We also understand that there are limited openings in Art & Nature Camp, so weagree to call Carolina Couto Cervera at (323) 761-8356 IMMEDIATELY, if I (student)become unable to attend, so another student can be offered the opportunity.

I (parent/guardian) give permission for photos/ video of my child taken whileparticipating in youTHink programs to be used in promotional materials for youTHinkand the Zimmer Childrens Museum.

I understand that transportation will be by: Shuttle / Car . I understand that adequate and appropriate supervision will be provided. I recognize,

however, that unanticipated situations and problems can arise on any trip, whichsituations or problems are not reasonably within the control of the supervisingyouTHink and/or Zimmer Childrens Museum staff (including volunteers). In suchinstances, I agree that the Zimmer Childrens Museum and the supervising youTHinkand/or Zimmer Childrens Museum staff (including volunteers) are not to be heldlegally responsible in the event of accident or injury and I will hold the ZimmerChildrens Museum and the supervising youTHink and/or Zimmer Childrens Museumstaff (including volunteers) harmless from any costs, liability, or related expenses.

I give permission for emergency medical attention to be administered should that benecessary while on this fieldtrip. I also give my permission for photos of my child takenwhile participating in youTHink programs to be used in promotional materials foryouTHink and the Zimmer Childrens Museum, which may include an institutionalvideo, website, or brochures.

________________________ _______________________________PRINT Student Name PRINT Parent/Guardian Name

_________________________ ________________________________Student Signature and Date Parent/Guardian Signature and Date