March Break Camp Information Form

STEP 1: Please complete the following form for all children you plan to enroll in our March Break Camps. When you submit this form, you will be taken to the class selection and payment portion of your registration (STEP 2).

Emergency Contact

Primary Contact:

Secondary Contact:

Allergy and Medical Information

Please inform us of any conditions the instructor should know about (i.e. asthma, diabetes, peanut allergies) as well as instructions for procedure to follow in the event of a problem.

Please indicate child's name first, followed by applicable information. Please separate information for individual children with a semi-colon.

Authorized Pick-Up

I give the following people permission to pick up my child(ren):


Occasionally, an instructor may schedule an excursion for the class in the neighborhood.

I give my child(ren) permission to go on supervised short excursions:

Visual and Audio Release Form

Visual and audio records will be gathered during our studio and gallery programs. Visual and audio records may be in the form of photographs, audio recordings, videos, digital images and will only be used for non-commercial purposes relating to the Art Gallery of Nova Scotia Education Program mandate (such as on Art Gallery of Nova Scotia website, Journal, or promotional material).

Note: Children’s names are not included in promotional material or online.

Education and Programming News

Extended Care and Pickup Information:

NEW this year, lunchtime supervision (for full day participants only) and extended pick up (until 5 pm) options are available at no additional cost.

Please note that the Gallery is closed at 5:00 p.m.

Thank you for filling out this form.

Submit this form to move on to STEP 2: Class selection and payment.