Clay Academy
2024

Ages 8 - 14; Monday June 24 to Friday June 28. 9am-3pm daily

Fee: $150 plus $25 materials fee per child.

Registration is limited to 12 campers.
Additional registrants will be placed on a waiting list.

Please use the application below to register your child/children. Please complete a separate form for each child.
The museum will contact you to confirm registration and arrange for payment.

The Museum has Community Access Funds for individuals who may find activities cost prohibitive and who qualify. Please complete a Community Access Fund Form if there is need.

Application

Child's Name

First Name

Last Name

Parent's or Guardian's Name

First Name

Last Name

Parent's or Guardian's Phone Number(s)

(###)

###

####

Phone # 2

(###)

###

####

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent's or Guardian's Contact Email

Emergency Contacts (2 required): Name and Phone Number

Please let us know who will be picking up your child. If any changes are necessary during the week, let us know ahead of time

Child's age and grade

Allergies or other health issues? Please explain .

Do you give your permission for your child to be photographed during academy events with the possibility of those photos being used for publicity purposes and/or posted on Facebook or in the newspaper? Please check box.

Yes

Child's shirt size for camp souvenir

We are certified to work with children and look forward to sharing this fun and exciting experience with your child. The Museum of Ceramics accepts cash or checks only for Clay Academy, and your child is NOT fully registered until payment is received. Lunch will be provided, along with a snack and water daily. If you prefer to pack your child's lunch, please let us know. Please have your child wear clothes you don't mind them getting dirty or messy due to the nature of several of our activities throughout the week. We will also need you to fill out a liability release form, which can be emailed to you. Please make any additional comments below or call 330 386 6001.

Clay Academy2024

Application

Museum of Ceramics400 East Fifth StreetEast Liverpool, OH 43920(330) 386-6001

Clay Academy
2024

Museum of Ceramics
400 East Fifth Street
East Liverpool, OH 43920
(330) 386-6001