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SMCA Littles Art Camp - Week One

Required

Students Namerequired
First Name
Last Name
Current school you are attending
Has your child attended before?requiredHas you child attended Saturday Morning Children's Art (SMCA) or SMCA Art Camp in the past?
Has you child attended Saturday Morning Children's Art (SMCA) or SMCA Art Camp in the past?
Parent/Guardian Namerequired
First Name
Last Name

Please provide the following medical information required of all non-Norwich Free Academy students who participate in summer programs.

Does your child have any allergies? (eg: food, medication, bee stings).required
What is your child allergic to?required*Please select all that apply.
*Please select all that apply.
Does your child's allergy require an EpiPen?required

*PLEASE NOTE: Participants in Summer programming at Norwich Free Academy must bring any necessary rescue medications (eg: inhaler, EpiPen) to participate. Doctor’s orders must be on file with the NFA Medical Center before the program begins. Orders can be faxed to 860-889-3291. For questions or concerns, please contact the NFA Medical Center at 860-425-5552.

 
Does your child have any chronic medical conditions? (eg: asthma, seizures, diabetes)required
Which chronic medical conditions does your child have?required*Please select all that apply.
*Please select all that apply.

*PLEASE NOTE: Participants in Summer programming at Norwich Free Academy must bring any necessary rescue medications (eg: inhaler, EpiPen), or diabetic supplies to participate. Doctor’s orders must be on file with the NFA Medical Center before the program begins. Orders can be faxed to 860-889-3291. For questions or concerns, please contact the NFA Medical Center at 860-425-5552.

 
Does your child have mobility issues?required(eg: assistance needed in the event of an emergency evacuation)
(eg: assistance needed in the event of an emergency evacuation)
Please describe the mobility issue and action plan, if any.
Does your child have any other pertinent medical/health problems or special precautions the summer program staff should know about?required
$150.00
June 22-26, 2026

Parent/Guardian Acknowledgment: I certify that I am age 18 or older. I have carefully read and freely sign the Acknowledgment & Assumption of Risk, Release, and Waiver of Liability. I fully understand and agree that this Acknowledgment & Assumption of Risk, Release, and Waiver of Liability is a legally binding agreement, that I on behalf of myself and the Student have given up substantial rights by signing it, that no oral or written statements or representations can or will alter the contents of this document, and that I and Student sign it freely and voluntarily without any inducement or undue influence. I agree that this agreement shall be governed by the laws of the State of Connecticut (excluding its conflict of laws principles), which shall be the forum for any lawsuits filed under or incident to this agreement or the Sports Activities. I further agree that this agreement is intended to be as broad and inclusive as is permissible by the laws of the State of Connecticut and that if any portion of this agreement is held to be invalid, it is agreed that the balance shall, notwithstanding, continue in full force and effect.

Discipline Policy - I understand that this is a summer program at Norwich Free Academy and that regular school rules apply. Although we do not expect any disciplinary issues, please be advised that any student participating is expected to behave properly and follow all directions given by the faculty and administration. Failure to do so may result in the removal from the program.

SMCA Littles Art Camp Cellphone Policy - While cellphones are a part of everyday life, it is program policy that cellphones are not to be used in class and should remain in backpacks or jacket pockets during the duration of the class period. This policy ensures students will be focused and provide their full and undivided attention during class. At the sole discretion of the teacher, students may be allowed to take images of their work for sharing purposes at the end of class. 

NFA Public Relations/Student Names and Photos - Norwich Free Academy often uses images/photos of students on our website, social media, promotional materials and advertisements. If you do not want your child’s name and/or picture to appear in any NFA promotional materials, in print or digital form, please email communications@nfaschool.org with your child's name and the program they are attending.

*Norwich Free Academy may call 911 for transport to the nearest hospital in the event of an emergency.

 

My signature indicates: That I have read and agree to NFA's terms and conditions regarding the Acknowledgment & Assumption of Risk, Release, and Waiver of Liability, medical emergencies, discipline, SMCA cellphone policy, and public relations, and that the medical information which I have provided is accurate and complete.

Please type your name to sign this document.

Payment Information

Please select a payment typerequired
Billing Addressrequired
Cardholder Namerequired
Expirationrequired
<p>*Your registration will not be complete until payment is received on or before the first day of camp.&nbsp;Please complete the registration form and remit payment to:&nbsp;</p> <p>Norwich Free Academy<br /> 305 Broadway<br /> Norwich, CT 06360<br /> Attn: Sarah LeFrancois</p>
<p>*Your registration will not be complete until payment is received on or before the first day of camp.&nbsp;Please complete the registration form and remit payment to:&nbsp;</p> <p>Norwich Free Academy<br /> 305 Broadway<br /> Norwich, CT 06360<br /> Attn: Sarah LeFrancois</p>