SUMMER CAMPS!
Children's Museum of Eau Claire
NEW for 2016! The play and learning never stops at the Children’s
Museum. Register your kids for a week of hands­on, interactive
“edu­tainment” during the following summer day camps!
Registration form on back. Registration opens April 1!
ALL CAMPS
$39/Member Child
$49/Non-Member Child
*ECASD students admitted FREE to these camps
KID-STRUCTION JUNCTION* | July 11-15, 1-4p (Grades 3-5)
Explore the science of structures, tackle unique building challenges, use the Museum's
3D printers to craft your creation and take a tour of a real downtown construction zone!
MAD NANO SCIENTISTS!* | July 18-22, 9-Noon (Grades K-1)
Can you imagine pants that never get wet? Magic sand that never dries out? Strange
silly putty? Homemade rock candy? Grab your lab coat as we discover this and more!
PINT-SIZED PICASSOS* | July 25-29, 1-4p (Grades K-1)
Unleash your inner artist as you paint, draw, sculpt and create your own masterpieces!
Meet a real artist and work on a collaborative piece to display at the Museum all year.
A WEEK ON THE BITTY FARM* | Aug 1-5, 1-4p (Grades 1-3)
Play in the dirt (literally!) as you plant your own garden, discover where food comes
from, make your own butter & ice cream and visit the Eau Claire Farmer’s Market!
WHEN I GROW UP!* | Aug 8-12, 9-Noon (Ages 3-4 + Caregiver)
You can wear lots of different hats in Bitty City! Be a Vet, a Construction Worker, a
Chef, a Dentist and an Actor all in just one week as we PLAY pretend and have fun!
EAU CLAIRE SCIENCE TROUPE | Aug 1-5, Noon-5p** (Grades 6-8)
Like science? Love working with kids? Join this elite group of student leaders and
learn how to "edu­tain" kids with mind­blowing science! With coaching from the YMCA
and the Children's Museum, you'll become a STEM expert, receive exclusive invites
to lead science demos at community events, and enjoy a behind­the­scenes tour at
the Science Museum of Minnesota. Scholarships available! Limited to 10 students.
**On Friday, August 5th, camp will meet from 9­5p to make time for our Field Trip!
www.ChildrensMuseumEC.com
2016 SUMMER CAMP REGISTRATION FORM
All Camps are $39 Members / $49 Non­Members; 1 form per individual camper
CAMPER NAME _________________________________________________________
DOB ________________________________ AGE ___________________ GRADE ______________
SCHOOL __________________________________________________________________________
T­SHIRT SIZE (circle one): Youth: XS S M L XL Adult: XS S M L XL
REGISTERING FOR (check all that apply):
______ Kid­Struction Junction / July 11­15 from 1­4p // Grades 3­5
______ Mad Nano Scientists / July 18­22 from 9­Noon // Grades K­1
______ Pint­Sized Picassos / July 25­29 from 1­4p // Grades K­1
______ A Week on the Bitty Farm / Aug 1­5 from 1­4p // Grades 1­3
______ When I Grow Up! / Aug 8­12 from 9­Noon // Ages 3­4 + Caregiver
______ Eau Claire Science Troupe / Aug 1­5 // Grades 6­8
MUSEUM MEMBERS? (circle one) Yes No If Yes, Patron ID # ____________________
PARENT/GUARDIAN NAME ___________________________________________________________
ADDRESS _________________________________________________________________________
CITY _______________________________________ STATE ____________ ZIP ________________
CELL # _________________________________ WORK # ___________________________________
HOME # ______________________________ EMAIL ______________________________________
EMERGENCY CONTACT _____________________________________________________________
Relationship __________________ CELL # ______________________ WORK # _________________
Children must be signed in/out daily. List any add'l persons authorized to sign child in/out of camp:
_____________________________________ Relationship ___________ Phone _________________
_____________________________________ Relationship ___________ Phone _________________
Is your child allergic to any medication and/or foods? Yes _______ No _______
If yes, please list ____________________________________________________________________
Does your child require any special accommodations? If yes, please describe: ____________________
__________________________________________________________________________________
__________________________________________________________________________________
Total Payment (# of camps x $39/members or $49/non­members) $_____________________________
CMEC accepts cash, personal check, Visa, MasterCard or Discover PARENT/GUARDIAN SIGNATURE ___________________________________ DATE ____________
I understand and agree to abide by the operation rules as set by the Children's Museum of Eau Claire (CMEC). My signature authorizes CMEC to use a photograph
of my child named on this form in future promotion. My signature also authorizes my child to be treated by the first available medical facility and physican should the
need arise, and authorizes emergency contact listed above to pick up my child from the program and make decisions regarding my child if I am not available. I
understand that every effort will be made to contact me in the event that such an emergency should take place.