Name: The Wonderful World of Oz at Pequot Library
Start: 2018-07-23T09:00:00-04:00
End: 2018-07-23T12:00:00-04:00

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This summer children ages 6-12 can explore the wonderful world of Oz at Pequot Library. This week-long, half-day program follows the adventures of Dorothy and her little dog, Toto, as they journey down the yellow brick road to the Emerald City through storytelling, crafts, games, and a Wizard of Oz-themed lemonade stand to be constructed for the Library’s Summer Book Sale.

Other activities include examining Pequot’s collection of rare Wizard of Oz books, creating pop-up art, science experiments, and outdoor games. This workshop is run by the Wonderland BookSavers.

Workshop Leaders:
Wonderland BookSavers a 501©(3) group that has donated over 200,000 books to 500,000 kids across four continents. This organization is primarily run by kids under the age of 18 and was originally started at Pequot Library!

Pricing:
Members* $150; Non-Members $175

*To receive member discount, please join Friends of Pequot Library. Family memberships are $75 and fully tax-deductible.

Camp Registration

Participant
Name of Participant*
First Last
Date of Birth*
Month
Day
Year
Grade*
Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Phone Number*
Parent/Guardians
Parent/Guardian #1*
First Last
Address (If different from above)
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code
Work Phone*
Cell Phone*
Parent/Guardian #2*
First Last
Work Phone*
Cell Phone*
Emergency Contact
Emergency Contact*
First Last
Relationship*
Phone Number*
Cell Phone*
Health Information
Dr.'s Name*
First Last
Phone Number*
Allergies/Medications/Special Considerations*
I hereby give permission for emergency medical treatment which will include but not be limited to initial diagnostic x-rays and other such procedures as the physician may deem necessary for the preservation of health. I agree to assume all costs related to such treatment. I hereby waive and release Pequot Library directors, staff, teachers and volunteers from and against all claims and medical and legal costs associated from my child’s/children’s program participation.
Pick-Up Consent
I give permission for the parent/guardian listed above as well as the following people to pick up my child from Pequot Library’s Summer Program. I understand that my child will not be released to any individual not listed on this form.
Name*
First Last
Relationship*
Phone Number*
Name*
First Last
Relationship*
Phone Number*
Photographic and Internet Release
I...*
- do
- do not
…give permission for my child to be photographed, videotaped. I understand that any pictures may be used in literature advertising the programming or activities at Pequot Library. I also understand that children who are enrolled in certain classes must have a signed release in order to participate in these programs.
Parent's Full Name*
First Last
Parent's Signature*
First Last
By signing this form, you acknowledge the following: I understand that anyone in my party may be photographed and that imagery may be used for publicity purposes for Pequot Library programs.
Date*
Month
Day
Year

Behavior Policy

Acknowledgment of Behavior Policy
Parent / Guardian Name*
First Last
Child's Name*
First Last
Date*
MM slash DD slash YYYY
Parent / Guardian Digital Signature:*
First Last
Child's Digital Signature:
First Last
Photography Acknowledgement*
I understand that anyone in my party may be photographed and that imagery may be used for publicity purposes for Pequot Library programs.
- Yes

Details

Date:: July 23, 2018
Time:: 9:00 am - 12:00 pm
Cost:: $75.00 – $175.00
Event Categories:: After-School Activities, Children, Teens, & Families, Workshops & Classes - Children
Event Tags:: camp, summer, Wizard of Oz, workshop

Venue

720 Pequot Avenue
Southport, CT 06890 United States + Google Map
Phone:: (203) 259-0346

Other

Room Location: Children's Library

The Wonderful World of Oz at Pequot Library

Camp Registration

Participant

Parent/Guardians

Emergency Contact

Health Information

Pick-Up Consent

Photographic and Internet Release

Behavior Policy

Acknowledgment of Behavior Policy

Tickets

Details

Venue

Other

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