Willow Art Camp 2025 Registration

Art lessons based on the beauty of self-awareness, nature, imagination, and fun! The camp is open to potty trained 3 year olds – 6 year olds.
The cost is $225 per week per child.

Cost per Camper:

Week 1 — May 27-30, 2025 9:00am-2:00pm – $225
Week 2 — June 2-6, 2025 9:00am-1:00pm – $225

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Family Information

Parent or Guardian #1

Name:

Street Address:

City:

State:

Zipcode:

Phone Number:

Email Address:

Parent or Guardian #2

Name:

Street Address:

City:

State:

Zipcode:

Phone Number:

Email Address:

Emergency Contact (other than parent)

Name:

Phone Number:

Relationship to Child:

Person(s) to whom your child may be released other than Parent/Guardian:

Camper Information

Camper #1

Name:

Gender:

Birthdate:

Age by June 1, 2025

Returning Camper?

Weeks Attending May 27-30, 2025 June 2-6, 2025

Church Presently Attending:

School Presently Attending:

Potty Trained?

Class in Fall:

T-Shirt Size:

Allergies:

Medical Comments:

Statement of Release

My child has permission to participate in all camp activities and to use play equipment under supervision except for limitations noted. I agree that Willow Art Camp, Second Presbyterian Church, and staff will not be held responsible for accidents or injuries arising from participants in the program. I grant permission for the camp personnel to provide routine health care and to seek emergency medical care if warranted. I grant permission for my child to be included in documentation of activities or programs through the use of videos, photos, or printed materials, which may include class photos, area newspaper articles, Second Presbyterian Church and Week Day School Websites, social media, or filmed segments to be aired on local TV stations. In consideration of my child's opportunity to participate in the camp program, I agree to release and hold harmless, Second Presbyterian Church, its agents, representatives, and employees from all claims, damages, or liabilities concerning my child which are not the result of gross or intentional negligence or willful or wanton conduct by the camp, it's agents, representatives or employees.

Parent/Guardian Signature:

Date:

All summer events at Second Presbyterian will operate according to the current guidelines set forth by our Session, the Mid-Kentucky Presbytery’s recommendations, and current CDC and state during the weeks the camp is in session.

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