Puppet Camp Registration

In the event of an illness or injury for the comfort of my child I would prefer homeopathic remedies such as sting-stop and arnica *

Yes No

Child has bee sting allergies *

Yes No

Liability agreement: I understand that the nature of children is to play and explore. I understand that Ripples and its staff are not held liable for any injury that my child may acquire. I hereby agree to assume all risk of any personal harm that may result from my child’s participation in any classes that I have registered them. I hold Ripples owners and teachers harmless to liability.

Photo/video release: I give my consent to Ripples to use any photographs/video containing my image in education-related activities and media including the Ripples web site and print media, and other related materials. I waive all claims to compensation for such use.

Payment of $150 is due with registration. Please select payment method below. *

I will send a check/money order to Ripples I will pay online with a debit/credit card (fee of $4.95 applies) I will pay via mobile app (apple pay/popmoney/etc) Other (please explain below)

Electronic Signature. By clicking/choosing 'yes' below, I (the applicant) confirm that I have stated true and factual information about myself in this application and that it is accurate to the best of my knowledge. I understand that intentional falsification on part of this application may result in cancellation of admission and/or registration. *

Yes

RIPPLES OUTDOOR PUPPETRY CAMP 2020 - REGISTRATION

RIPPLES OUTDOOR PUPPETRY CAMP REGISTRATION FORM