Summer Camp Scholarship Application

2026 Summer Art Camp Registration Form

Complete ONE Registration Form for each Camper.
Camp will run M-F from 9 am - 3 pm. Upon approval, a scholarship may cover up to one week of camp.
Please fill out the application form and provide financial documentation. You will also be required to submit a letter of recommendation before approval of your application. This letter can be sent to leciafloyd@artsforlawrence.org
Before/Aftercare is available for $50/week (and is not covered under the scholarship)

Campers First Name

Campers Last name

Age as of 6/8/2026 (Campers must be 6 - 13 years of age.)

Phone

Camper's Birthday required

Grade (entering in the fall)

Street Address

Street Address Line 2

City

Region/State/Province

Postal / Zip code

Parent/Guardian Name

Relationship To Camper?

If your address differs from your camper's, please enter it below:

Emergency Contact (if parent/guardian doesn't answer the phone call)

Emergency Contact Phone Number

Additional People Authorized to Pick Up the camper.

Second Pick-Up Contact

Third Pick-Up Contact

Arts for Lawrence will follow these policies for the protection and safety of our campers: If your camper is sick and has a temperature of 99 or higher, they will need to stay home and will not be able to attend that day. By checking this box, you acknowledge, and agree.

Medical Emergency Information: Physician or Physician's Office Name

Doctor's Office Phone Number

Allergies (if none, type n/a)

Medications (if none, type n/a). Please also include if any of these will need to be administered during the camp day. If so, a seperate medication form will be emailed.

Preferred Hospital

Any additional information AFL should know:

At Arts for Lawrence, we believe in providing a joyful, supportive environment for all campers to experience the arts with respect and courtesy. Bullying threatens our camp's values and peace. By checking the box below, you commit to discussing positive participation with your camper and acknowledge our zero-tolerance policy against bullying, which may result in dismissal, without a refund.

I understand and I agree

In consideration of myself, my spouse (if any), or my child's or ward's participation at Summer Art Camp: I HEREBY ASSUME ALL OF THE RISKS OF PARTICIPATING IN ANY OR ALL ACTIVITIES ASSOCIATED WITH ARTS FOR LAWRENCE, and/or THIS FACILITY, THEATER AT THE FORT, OR ANY OTHER PART OF THE ARTS FOR LAWRENCE CAMPUS, including by way of example and not limitation, any risks that may arise from negligence or carelessness on the part of the persons or entities being released, from dangerous or defective equipment or property owned, maintained, or controlled by them, or because of their possible liability without fault. In consideration of our application and permitting us to participate in this camp being held at Theater at the Fort, or any of Arts for Lawrence's other, facilities, we hereby take action for ourselves, our executors, administrators, heirs, next of kin, successors, and assigns as follows: (A) I WAIVE, RELEASE, AND DISCHARGE from any and all liability, including but not limited to, liability arising from negligence or fault of the entities or persons released, for our death, disability, personal injury, property damage, property theft, or actions of any kind which may hereafter occur to us including our travel to and from this activity, THE FOLLOWING ENTITIES OR PERSONS: Theater at the Fort, Arts for Lawrence, and/or their directors, officers, employees, volunteers, representatives, and agents, and the activity holders, sponsors, and volunteers; (B) INDEMNIFY, HOLD HARMLESS AND PROMISE NOT TO SUE the entities or persons mentioned in this paragraph from any and all liabilities or claims made as a result of participation in this activity, whether caused by the negligence of release or otherwise. We acknowledge that Theater at the Fort, Arts for Lawrence and their directors, officers, volunteers, representatives, and agents are NOT responsible for the errors, omissions, acts, or failures to act of any party or entity conducting a specific activity on their behalf. The risks include but are not limited to, those caused by terrain, facilities, temperature, weather, condition of participants, equipment, vehicular traffic, and actions of other people including, but not limited to, participants, volunteers, monitors, and/or producers of the activity. These risks are not only inherent to participants but are also present for volunteers. The Accident Waiver and Release of Liability Form shall be constructed broadly to provide a release and waiver to the maximum extent permissible under applicable law. I HEREBY GIVE MY PERMISSION FOR THE SUMMER ART CAMP STAFF TO OBTAIN THE SERVICES OF THE INDICATED PHYSICIAN OR HOSPITAL IN THE CASE THE NAMED CAMPER SUFFERS ILLNESS OR ACCIDENT. I HEREBY GIVE MY PERMISSION TO HAVE PICTURES/VIDEOS TAKEN DURING CAMP TO BE USED BY ARTS FOR LAWRENCE AND/OR THEATER AT THE FORT FOR ANY BROADCAST, PRINT MEDIA, GRANT DOCUMENTATION, OR OTHER PUBLICITY.

BY TYPING YOUR FIRST AND LAST NAME BELOW, YOU ARE AGREEING TO ALL OF THE TERMS AND CONDITIONS OUTLINED IN THE RELEASE STATEMENT ABOVE.

Today's Date required

Before and Aftercare is available at a rate of $50 per week. This rate is not covered under the scholarship. If this is needed, a separate payment link will be sent.

Yes

Unsure Yet

Please upload a recent financial document (such as a tax return, SNAP/food assistance letter, or free/reduced lunch documentation).

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To complete the application, a letter of recommendation will be needed. this can be from a pastor, teacher, counselor, etc. and will need to be on letterhead. iIf you don't have this at the time of applying, please have it emailed to leciafloyd@artsforlawrence.org

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Once all required materials have been submitted, Arts for Lawrence will notify you of the status of your scholarship application within 7 business days.

Thanks for submitting your scholarship application. We have received it, and will be in touch shortly. When you see this message, you can close out of the application.