Microscopic Me Day Camp

Ages 6-12
September 6, 2021
9:00 a.m. – 3:00 p.m.

Viruses, bacteria and fungi, oh my! How does your body protect itself from getting sick? Join as we gain exclusive access into the Witte’s fall exhibition, The Secret World Inside You. Learn all about the human body as we create models like the digestive system to determine how our body manages our health.
Age groups for this camp will be combined.

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Child's Full Name

Child's Date of Birth

Preferred Pronouns:

Child Shirt Size

Does your child wear glasses or contact lenses?

Does your child have any known allergies?

If yes, please list known allergies:

Does your child have any physical or behavioral conditions that could restrict activities or require special accomodation? (Examples: epilepsy, diabetes, ADHD, ASD, etc.)

If yes, please explain:

NOTE: Museum staff is not allowed to administer any medication. If your child needs medication during the program, you or someone you designate in writing must administer that medication. Selecting "Yes" signifies your consent that you recieved this notice.

Photo/Image Waiver and Release: I authorize and give consent to the usage of photographs or other images of my child by the Witte Museum, or any of its affiliated organizations and sponsors, for publicity, advertising, or any other legitimate business purposes.

All Witte Museum Camp sessions begin and end on the Witte Museum campus. Some sessions include field trips away from the Witte campus. Children must have a signed parental consent form turned in to the Witte Museum before they will be allowed to go on any field trip. If you want your child to attend the field trip(s), please sign the form below and return it to Sign-In/Sign-Out staff. The Director of Public Programs will be in communication with you regarding any planned field trips during the Witte Adventurers program, which may include short walks through Brackenridge Park or riding the San Antonio Zoo Train.

Children without a signed field trip waiver will remain on the Witte Campus during the planned field trip under the supervision of a Museum Educator.

My child has my permission to participate in the Witte Museum Camp field trip(s). Should any accident or illness occur to him/her on the trip, I shall not hold the leader of the group, his/her agents, or the Witte Museum responsible and I authorize the leader to obtain medical services, if necessary.

Parent/Guardian Full Name

Parent/Guardian Home Phone

Parent/Guardian email

Name

Address:

City

Country

State or Province

Zip Code

Emergency Contact 1, Name and Phone Number

In consideration of my child being able to participate in the Witte Museum Camp program sponsored by the Witte Museum, I, the undersigned parent, binding my heirs, executors, administrators, estate, and assigns, do hereby release and agree not to hold liable the Witte Museum, its officers, agents, employees and volunteers, for any and all actions, claims, demands, costs, or damages as a result of property damage or personal injuries sustained by my said child, his /her or my property, arising from or resulting from any act of omission, negligent or otherwise, of said the Witte Museum, its officers, agents, employees, and volunteers or any other person or any other participant in the program while participating in the said activity or while traveling to and from place at which such activity will be conducted.

In the event the Witte Museum or a volunteer provides transportation for my child, this Waiver and Release Form shall extend to and release the volunteer driver or the Witte Museum employee driver from any and all liability aforesaid.

I do further with the same intent bind my heirs, executors, administrators, estate, and assigns, to hereby release and agree to hold harmless any landholder or lessee of land or property onto which my child may go as part of the activities of the Witte Museum Camp program from any and all actions, causes of action, claims, demands costs or damages or my property, arising from or resulting from any act of omission of the owner or lessee or any defect in the promises, known or unknown, or the owner or lessee.

Consent is hereby given for the applicant to attend the Witte Museum Camp program and permission is given for all emergency medical treatments, operation, or anesthesia, which might become necessary.

By signing electronically, with initial and date, you agree to all that is above.

Available Groups

Witte Museum Camp $115.00

Witte Museum Camp Member $95.00

Witte Museum Camp $115.00

Witte Museum Camp Member $95.00

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Available Groups

Quantity for Programs

Witte Museum Camp $115.00

Witte Museum Camp Member $95.00

Quantity

Witte Museum Camp $115.00

Witte Museum Camp Member $95.00

Additional items