MUSEUM OF THE GREAT PLAINS

SUMMER PROGRAMS
“FOR ARTS’ SAKE OKLAHOMA!”

REGISTRATION FORM

Members $45. per week
Non-members $50. per week
10% off additional family members
Cost includes all materials and a healthy snack
Scholarships are available

Register early, as space is limited
Registration must accompany payment (Payment is non-refundable)
Registration may be completed by telephone (with a credit card), by mailing your check made payable to the Museum of the Great Plains, or by dropping this form off with your payment at the Museum of the Great Plains

For more information, please call the Museum at (580) 581-3460 or email the Curator of Education, Jana Brown educator@museumgreatplains.org

Participant’s Name(s):
Guardian’s Name(s):
Home Address:
City:	State:				Zip Code:
Daytime Phone:			E-Mail:
Emergency Contact Name:				Tele:
Class:		Age:			Date:
Class:		Age:			Date:
Class:		Age:			Date:
Special Needs or Allergies:
Photo release: I grant the Museum of the Great Plains the right to use photos taken of my child(ren) for use in their promotional media such as brochures, posters, campaign films and publicity stories. Parent or Guardian Signature:
Date:
Scholarship Application Please fill out the information below to be considered for a scholarship. We work with the Lawton Public Schools to identify children in need of help with summer program tuition. LPS teachers and administrators will help us determine those who qualify. We take into consideration those students who receive a free or reduced lunch, who are well mannered and show significant interest in learning art and history, and have transportation to the weekday programs. Child(ren)’s Name:
School(s):
Grade(s):
Teacher(s):

Made possible with the assistance of
the Oklahoma Arts Council,
National Endowment for the Arts,
and community support.

The Museum of the Great Plains
601 NW Ferris Avenue
Lawton, OK 73507

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