ENROLLMENT FORM

2025 Summer Intensive Enrollment

Step 1 of 5

PARTICIPANT INFORMATION
Name*
First Last
Preferred Name*
Enter the name you would prefer us to use.
Preferred Gender Pronoun*
Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Email (type carefully--this will be our primary form of contact)*
Date of Birth*
MM slash DD slash YYYY
Grade Completed in 2024-25*
Must have completed grades 6-8.
School Attended in 2024-25*
T-Shirt Size*
Select one size.
Please list any accommodations needed for your learning environment:
Please specify any health issues and allergies we should be aware of:

WAIVERS
Media, Evaluation, Liability, Medical Emergency
I understand that photographs and videos may be taken during WMCAT programming. I understand media and artwork produced by my child may be used for educational, funding, promotional or other purposes and may be sold on behalf of WMCAT. I give WMCAT my permission to use, in part or whole, the name, picture, performance, photograph and/or taped voice of my child. WMCAT is released from any monetary compensation and any and all claims resulting from such use. I waive any right to inspect or approve the finished photography, video, or audio recording.*
I understand that in order for WMCAT to improve, staff and/or professional external evaluators may make observations during activity times, conduct interviews, and administer questionnaires in which my son/daughter is asked about their experiences at WMCAT.*
I understand that my child will be working in programs such as Fiber Art, Ceramics, and Photography, where contact with mechanical equipment and/or chemicals may be involved.*
I understand that WMCAT is not responsible for any items that are damaged, lost, or stolen.*
In the event of a medical emergency, I hereby authorize the WMCAT staff to secure medical attention or hospitalization for my child. I understand that WMCAT does not provide medical insurance for my child, and I am solely responsible for providing such insurance and for payment of any medical treatment expenses for my child that are not covered by insurance.*
SCHOLARSHIP
WMCAT scholarships are distributed on a first-come first serve basis. These funds are reserved for those who would not otherwise have an opportunity to engage with WMCAT summer programming; we ask that families request if they fit this description.
  I would like to apply for a reduced-tuition scholarship.*