Archicamp

Richmond Columbian Properties Inc. 2023 ArchiCamp for Kids Registration Form

Your son or daughter (ages 9-12) will be participating in ArchiCamp, June 27-28, 2023, 9:00 a.m. to 3:00 p.m. at Richmond Columbian Properties Inc. at 204 North Tenth Street. He or she will be participating in various learning activities, a walking tour, visit two historic houses, two churches, the Wayne County Museum and the Depot District. He or she will be chaperoned by Board members and/or volunteers at all times. Lunch will be provided.

In order for your child to participate, the registration fee of $25.00 (check or money order) and this form must be filled out and returned to Richmond Columbian Properties Inc.P.O. Box 294, Richmond, IN 47375 by June 20, 2023.

Permission to Participate

My child,______________________________Age__________ , may participate in the ArchiCamp at the Richmond Columbian Properties Inc., June 27-28, 2023, 9:00 a.m. to 3:00 p.m. I or a designated guardian agree to drop off my child at 9:00 a.m. and pick up my child at 3:00 p.m. both days.

Signature of Parent or Guardian and Date

______________________________________________Date____________________

Phone _____________________Email___________________________________________

Emergency name and number if parent cannot be reached

Food Allergies - No _____ Yes_____________________________________________

Each student will receive an ArchiCamp t-shirt with registration.

Participant’s t-shirt size Youth or Adult S M L XL

WAIVER OF LIABILITY

I now release Richmond Columbian Properties Inc., its Board of Directors, employees, volunteers, agents, and assigns from responsibility for any personal injuries and damages to property caused by or having any relation to this activity. I understand that this release applies to any present or future detected injuries from this activity and that it binds me, my children and my spouse. I have read this release and sign it voluntarily.

SIGNATURE OF PARENT OR GUARDIAN and DATE

Any questions call Rev. Marty Holman at 765-220-0803

richmondcolumbianproperties.or

2023 Archicamp Richmond Columbian Properties Inc.