Please ensure Javascript is enabled for purposes of website accessibility Skip to main content

Summer Camp

2022 Camp Form Submission


First Name *
Last Name *
Country
Address Line 1 *
City *
State/Province *
Postal Code *

First Name
Last Name
Country
Address Line 1
City
State/Province
Postal Code

First Name *
Last Name *
If your child does not have any immunizations, please upload a form stating that. This upload field accepts multiple forms, if needed. Your child is not required to have vaccinations to attend our camps, but EEA needs to have medical records on file as to what they do or do not have.
No file selected
Please upload your child's current physical within the year. This upload form can accept multiple files if necessary.
No file selected
OPTIONAL for statistical purposes only: Camper Ethnicity
OPTIONAL for statistical purposes only: Camper Race

First Name
Last Name
/
/
If your child does not have any immunizations, please upload a form stating that. This upload field accepts multiple forms, if needed. Your child is not required to have vaccinations to attend our camps, but EEA needs to have medical records on file as to what they do or do not have.
No file selected
Please upload your child's current physical within the year. This upload form can accept multiple files if necessary.
No file selected
OPTIONAL for statistical purposes only: Camper Ethnicity
OPTIONAL for statistical purposes only: Camper Race

First Name
Last Name
/
/
If your child does not have any immunizations, please upload a form stating that. This upload field accepts multiple forms, if needed. Your child is not required to have vaccinations to attend our camps, but EEA needs to have medical records on file as to what they do or do not have.
No file selected
Please upload your child's current physical within the year. This upload form can accept multiple files if necessary.
No file selected
OPTIONAL for statistical purposes only: Camper Ethnicity
OPTIONAL for statistical purposes only: Camper Race

My child(ren) listed in the above registration form has/have permission to participate in all camp activities scheduled by the East End Arts School during the week(s) he/she/they are in attendance. If my child(ren) has/have any underlying condition(s) or special need(s), I have listed those condition(s)/special need(s)/activity restriction(s) below and specified which child(ren) each special need(s)/condition(s)/restriction(s) pertains to.

By checking the box below, you are agreeing to the above text (Participation in camp activities)
First Name *
Last Name *
By electronically signing my name in the above boxes, I agree and understand the above permissions. I have listed any condition(s), restriction(s), and special need(s) in the boxes provided below.

East End Arts will not release any student to any person without proper photo identification and their name listed in the appropriate sections of this registration form (Guardians & Emergency Contacts). Please enter up to 3 emergency contacts that can be contacted in the event GUARDIAN #1 or GUARDIAN #2 listed can not be reached. The people you list below will have permission to pick up your child(ren) from the East End Arts School. All students are required to be signed out at the registrar’s office prior to release at the conclusion of each day. Please contact the Education Director at kruscick@eastendarts.org if there are any special circumstances or pick-up restrictions pertaining to your child(ren). 

First Name
Last Name
First Name
Last Name
First Name
Last Name

Do any of your registered children above have any allergies (environmental, food, medications)?

If yes, please list ANY & ALL allergies in the below boxes, the reaction, and the severity of the reaction to the allergen. Please be specific and if registering multiple children, include name(s) of child(ren) which allergies and whether or not they have a doctor prescribed epi-pen for their reaction.

Please list any & all allergies per registered child. Be sure to list their name in each box. If they have allergies, please list the allergen, reaction, and severity of reaction.


Image/Likeness Release

I am the parent or legal guardian of the above registered child(ren), participant(s) of the East End Art Summer Camp Programs (“Programs”), programs by East End Arts and Humanities Council held at East End Arts Main Campus Recreation Center (“Recreation Center”), located in Riverhead, New York. I hereby consent to the publication and use of my child’s/children’s name(s) and/or my child’s/children’s likeness(‘) (“Likeness(‘)”) for the purpose of promotion, publicity, advertising, or other manner or media by East End Arts & Humanities Council, Inc., or any other representative authorized to act on behalf of the afore-mentioned entity. Likeness(‘) shall include, but not be limited to, photographs, sound and/or video recordings, films, broadcasts, brochures, publications, reports, web pages, promotional materials or any other audio-visual, electronic, printed, tangible work in any media or format, now known or hereafter to become known, and/or reproductions of any of these. I agree that the actual material involved is and shall continue to be the property of the East End Arts & Humanities Council, Inc. and that neither I, nor my child(ren), shall have any right of review or approval regarding the use of my child’s/children’s name(s) and/or Likeness(‘) in such material. I hereby release and hold harmless, East End Arts & Humanities Council, Inc., along with their respective employees, agents, affiliates, sponsors, or other representatives from any and all claims, demands, or causes of action arising out of the use of my child’s name(s) and/or Likeness(‘), in accordance with the terms of this release. I understand and agree that neither I, nor my child(ren), will be compensated in any way for the use of my child’s/children’s name(s) and/or Likeness(‘) by East End Arts & Humanities
Council, Inc.. 

Likeness Usage Agreement
By electronically signing my name, I agree to the above release/waiver for all children listed in this registration..
First Name *
Last Name *

LOCATION
All camps are held at the East End Arts School, located at 141 East Main Street in Riverhead, NY. The School offers professional studios with comfortable air
conditioned rooms and scenic grounds for outdoor breaks and lunch.

STAFF
Counselors are chosen for their expertise, dedication, and enthusiasm with children. Unexpected Discoveries Creative, Arts, Music, & Theater 1-Week Summer Camp maintains a comfortable ratio of 1:6 counselors to children. Unexpected Discoveries Weekly Summer Arts & Music Camps maintain a comfortable ratio of 1:10. Our small group sizes provide for in-depth learning with personal attention and an encouraging arts camp experience.

SNACK & LUNCH
Campers bring their own snacks & lunch in an insulated container.

CAMP PERFORMANCE & ART SHOW
On the last day of each camp, campers show off their creations to family and friends. Details provided at camp.

TRANSPORTATION
Transportation is the responsibility of the parent/guardian.

SCHOLARSHIPS
A limited number of partial scholarships are available, based on financial need. An application can be requested by calling the School at 631-369-2171, email education@eastendarts.org or download a scholarship form. Deadline for application is June 1, 2022.

PLEASE NOTE: Camps have limited space. Campers will be registered on a first-come first-served basis. East End Arts School will maintain a waiting list for any camp that becomes full. Each camper will receive a call confirming their spot in camp a week prior to the beginning of camp.


CAMP REFUND & CREDIT POLICY

  • If you notify East End Arts before May 15, you can receive a 75% refund, less an administration fee of $15.00.
  • If you notify East End Arts less than one month (30 days) but at least two weeks (14 days) before the start of that specific camp week, you can receive 50% refund, less an administration fee of $15.00.
  • If you notify East End Arts less than two weeks (14 days) before the start of that specific camp week, you may receive a 50% credit on your East End Arts account.
  • Once a program begins, we cannot make any adjustments or offer any credit.
I have read and understand all the aforementioned camp information. I understand that I must have all of my child’s/children’s forms and appropriate signed releases in to the registrar 2 weeks prior to the beginning of camp.

According to New York State Law, East End Arts Camp Staff is not permitted to administer medication to any camper without a physician’s order. It is the policy of Unexpected Discoveries Camp to allow the parent to bring and administer medication to their child during the day as necessary.   

EMERGENCY AUTHORIZATION & INDEMNIFICATION

To the best of my knowledge, the health history and participation restrictions for each child registered above; including any and all allergy information is correct, and the person(s) described has permission to engage in all camp activities except as noted. While every precaution will be taken to ensure the safety and good health of all children and the protection of each child’s property, I understand and hereby agree that East End Arts & Humanities Council, Inc. and the directors, and employees of East End Arts & Humanities Council, Inc. and Unexpected Discoveries Summer Camps, are released from any and all liability in the event of an illness, accident, or misfortune that may occur to the child(ren) or damage to the child’s/children’s property while on East End Arts & Humanities Council Inc.’s property or during a time in which your child(ren) are under the care and supervision of East End Arts' Staff off-premises.

Emergency Authorization & Indemnification
First Name *
Last Name *
Consent for Treatment
First Name *
Last Name *

“Art is something that makes you breathe with a different kind of happiness.” ~ Anni Albers

© 2022 East End Arts

Powered by Firespring