Public Hours

Saturdays 1-5 p.m.
School/Tour groups
by appointment only

Admission Prices

Adults: $6

Children (4-12): $3.50

Seniors (55+): $3.50

Children 3 & under are admitted free

All major credit cards accepted

Curator Club Registration Form

All fields marked with an * are required

Child's Name:*

Child's Age:*

Child's Birthdate:*

Grade (entering):*

School District/
Homeschool:*

Parent or Guardian's Name:*

Street Address:*

City:*

State:*

Zip:*

Home Telephone:*

Cell Telephone:

Insurance Information:

Insurance Co:

Policy #:

Work Telephone:

Email Address:

No Email Address

If not available in an emergency, please notify the following person:

Name:*

Phone:*

Relationship:*

Please check the activity (ies) that your child will be attending:

Due to high demand registration is closed for this activity. Walks ins may be accepted if there are openings.

June 22: Unearth the Past!

July 6: Become a Scientist!

July 20: Reduce, Reuse, Recycle!

August 3: North America!

August 17: What’s in the Water?

How did you hear about our program? Check as many as apply

	Word of Mouth	Email Notice
	Magazine/Newspaper	Prior Curator Club
	Web Site	Facebook
	Museum Visit	Notice from School
Other:

Photo Permission

I give permission for my child's photograph to be taken during Curator Club activities. I understand the photographs may be used in the Oakes Museum of Natural History newsletter, for staff professional portfolios, or in promotional materials, which may include our web site or social networking.

Yes No

Parent Signature:*

Date:

Permission to Pick Up Your Child

At the end of Curator Club we will only release your child to those who may pick up your child. I authorize the following individuals to pick up my child from the Oakes Museum Curator Club.

Name:

Phone:

Relationship:

Parent Signature:

Date:

If you need to make arrangements for another person to pick up your child during Curator Club sessions, please provide us with a written and signed note of permission.

Medical Information

The child named above has my permission to participate in the designated Messiah College/Oakes Museum Curator Club program. I certify that my child is fully able to participate. I release Messiah College/Oakes Museum, its employees, agents offices and volunteers from all liability, claim, expenses and actions which may arise from injury or harm to the child as a result of camp participation. In the event of a medical emergency, I authorize Messiah College/Oakes Museum to designate a hospital, physician or emergency personnel to provide care (including hospitalization, if necessary) to the child and release Messiah College/Oakes Museum from any liability for injury or harm which to the child which may result from this medical care. I understand that responsibility for payment of such care medical care will be mine and certify that the child is covered by adequate medical care.

Parent or Guardian Signature:*
Family Doctor:*
Phone:*
Preferred Hospital:*	Holy Spirit Harrisburg
Drug Sensitivities/Allergies:	No Yes
If yes, describe:
Epi-pen:
Does your child require an epi pen to treat an allergy?	No Yes
Will your child bring the epi-pen to Curator Club activities?	No Yes
I give my child permission to self administer the above listed prescription medication.	No Yes
Parent or Guardian Signature:

Asthma:
Does your child use an inhaler for asthma?	No Yes
Will your child bring the inhaler to Curator Club?	No Yes
I give my child permission to self administer the above listed prescription medication.	No Yes
Parent or Guardian Signature:

Other Pre-existing Conditions:
Does your child have any injuries or conditions including diabetes, epilepsy, etc. that presently exist that would limit him/her from Curator Club activities?	No Yes
If yes, please describe:

Non Prescription Medications:
Please list the medications:
I give my child permission to self administer the above listed non prescription medication.	No Yes
Parent or Guardian Signature:
My child is aware that they may not share any medication with other campers.	No Yes
Parent or Guardian Signature:

All medication brought to Curator Club must be labeled. All medication will be held by the child. The Oakes Museum of Natural History is not responsible to store any medication.


Sign up to receive our updates via email.