School's Out
Camp Registration 2014-2015


Phone us at 919-857-1040
E-mail us at camps@marbleskidsmuseum.org

Marbles Kids Museum Camps
201 E. Hargett St.
Raleigh, NC 27601

Thank you for choosing a Marbles Kids Museum camp - where an ordinary day becomes an extraordinary adventure!


MEMBERSHIP INFORMATION
*Membership Status
Members receive a discount on camp fees. Click here for more information about memberships.
 
CAMPER REGISTRATION INFORMATION
*Camper's First Name
*Camper's Last Name
Camper's Preferred Name
*Gender
*Grade as of Fall 2014
*Date of Birth
 (mm/dd/yy)
Please list any medical or special behavioral considerations that we should be aware of, including but not limited to allergies, medication, or physical challenges.

Please Note: Marbles staff can only administer medication prescribed to a camper by a physician, specifically for the purpose of treating an ongoing condition that requires on-demand, time-sensitive dosing to prevent a medical emergency. Any medical or behavioral conditions may result in a proactive call from the Marbles Kids Museum team to help determine the best way to accommodate your child's needs.
*School Type
*Is your child a new or returning camper?
 
PARENT/GUARDIAN REGISTRATION INFORMATION
*Parent/Guardian's First Name
*Parent/Guardian's Last Name
*Address
Address 2
*City
*State
*Zip Code
*Home Phone
Work Phone
Cell Phone
*E-mail Address
Additional Parent/Guardian Name
Additional Parent/Guardian Phone
 
CARPOOL INFORMATION
Others authorized to pick up your child:
Name #1
Phone #1
Name #2
Phone #2
 
MEDICAL INFORMATION
Our primary concern is the health, safety and well-being of your child. For this reason, please provide the following information:
*Name of Camper's Physician
*Physician's Phone Number
*Non-parent Emergency Contact
*Relationship to Camper
*Daytime Phone Number
 
General Release and Cancellation Policy


*Please use the pull-down below and select "I Agree" to consent to this release and cancellation policy.
Please tell us how you heard about our camps:


Please review the information you entered above, then press the "Register" button below when you are ready to proceed to camp selection.

You will have the opportunity to add another child later in the application process.