Miracle on Green Street

Saturday, December 20, 2025 | Ages 4-12 | $35
4:00-8:00 PM

Holiday Fun for Kids While You Shop!

Go holiday shopping while your children enjoy a safe, engaging, and festive experience. Our program includes family-friendly holiday movies, hands-on craft activities, and sweet treats like s’mores—all designed to spark creativity and holiday cheer.

Student Information

* Indicates required field

Student Name *

First

Last

Birthday *

Age *

Second Student Name *

First

Last

Birthday *

Age *

Parent Name *

First

Last

Email *

Address *

Line 1

Line 2

City

State

Zip Code

Country

County of Residence *

Phone Number *

Second Phone Number *

Emergency Contact *

First

Last

Emergency Contact Number *

Relation to Child *

Second Emergency Contact *

First

Last

Second Emergency Contact Number *

Relation to Child *

Child's Doctor *

First

Last

Phone Number *

Special Medical Needs: (to assist teachers, if registering 2 children indicate special instructions by child)

LIST ANY MEDICAL OR LEARNING PROBLEMS THAT WOULD EFFECT CAMP ACTIVITIES *

LIST ALLERGIES AND STEPS TO BE TAKEN IN CASE OF EXPOSURE *

DOES YOUR CHILD REQUIRE AN EPIPEN? IF YES, YOU NEED TO SEND ONE WITH YOUR CHILD EVERY DAY. *

MEDICATIONS/OTHER: *

IN THE EVENT THAT THE PARENT, GUARDIAN OR EMERGENCY CONTACT IS NOT AVAILABLE IN CASE OF EMERGENCY, I HEREBY GRANT THE QUINLAN VISUAL ARTS CENTER MY PERMISSION TO SECURE EMERGENCY MEDICAL TREATMENT FOR MY CHILD. *

YES NO

I HEREBY GIVE PERMISSION FOR MY CHILD/REN TO PARTICIPATE IN SUMMER ART CAMP AT THE QUINLAN VISUAL ARTS CENTER. I HEREBY RELEASE & HOLD HARMLESS THE QUINLAN VISUAL ARTS CENTER, IT’S STAFF, IT’S REPRESENTATIVES AND OR/AGENTS FROM ALL LIABILITIES AND ANY MISHAPS THAT MAY BEFALL MY CHILD/REN INCLUDING, BUT NOT LIMITED TO, THE ACTIVITIES IN THE CLASSROOM AND/OR OUTSIDE THE CENTER SUMMER ART CAMP FACILITY. *

YES

Transportation: I understand that we the family, are responsible for arranging all transportation for my child/ren to and from the Quinlan Visual Arts Center camp sessions.

ALTERNATE PICK-UP PERSON *

First

Last

Phone Number *

ALTERNATE PICK-UP PERSON *

First

Last

Phone Number *

Media Release: I understand that staff photographers and/or television crews will at times be present to photograph or film the Quinlan Visual Arts Center classes, workshops, Summer Art Camp sessions and exhibitions. I hereby give my permission for resulting promotional photographs and television and/or television footage, which may include my child, to be used for promotional purposes on television, in newspapers, magazines, and press releases, on the arts center website or any other media deemed appropriate by the Board of Trustees of the Quinlan Visual Arts Center.

CLASSROOM POLICIES AND PAYMENT PROCEDURES (CPPP): BY CLICKING BELOW I ACKNOWLEDGE THAT I HAVE READ THE CPPP BELOW. *

I acknowledge the Quinlan policies

REGISTRATION IS NOT COMPLETE UNTIL PAYMENT IS MADE.

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