muck AND gold
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Please fill out the form for each child registering for a program. Thanks!
*
Indicates required field
Registration for:
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Camp - July 13-17
Camp - July 20-14
Camp - August 3-7
Payment choice
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1 week - $335
2 weeks - $645
3 weeks - $955
Parent/Guardian's Name
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First
Last
Phone Number
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Child's Name
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First
Last
Email
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Additional Info. I need to know about your child (i.e. allergies, medical needs, etc.)
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Comments
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Age
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Emergency Contact Name
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First
Last
Emergency Contact Phone Number
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Address
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Line 1
Line 2
City
State
Zip Code
Country
Your payment is refundable 3 weeks before the start of the workshop/camp/class. After 3 weeks there can be no refund. There is a $25 admin. fee for refunds. If the program is cancelled your deposit will be refunded in full.
I hereby understand and acknowledge that the camps/classes/workshops held by "Muck and Gold LLC" may expose my child to many inherent risks, including accidents, injury and illness and that I assume all risk associated with participation and (ii) I agree, for myself and anyone entitled to act on my behalf, to hold harmless, waive and release Muck and Gold and its agents and representatives from responsibility, liabilities, demands, or claims of any kind arising out of my child's participation in Muck and Gold camps/classes/workshops.
Check box
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I agree
I give permission for my child to participate in all workshop/class/camp activities, including field trips outside of camp.
*
Yes
No
I give permission to Muck and Gold to use photos and videos taken in a workshop/class/camp to use in our flyers, advertisements and social media.
*
Yes
No
Submit
Home
About
What we are all about
Bios
(Re)learning
Adults
>
Remotely Present Workshop
Physically Present workshop
Children
>
Summer Camp
Fall Workshop
Performance
Vintage Emotion House
Only Don't Know Show
Look
blog
Contact/Registration