St. Bonaventure University

QCA Summer Experiences Registration


To register a child in a Summer Experiences program, please complete and submit the form below.


Summer Experience Selection

Please Select the Desired Experience*




* PLEASE NOTE: Each experience requires a separate registration form.


Participant Information









May we use your child's photo in publicity materials?



Guardian Information











If desired, add information for second guardian










Emergency Notification

In case of emergency, please contact the following person first.






 





Please note: Upon submission of this form you will be taken to an acknowledgment page with additional information regarding payment and required waiver and medical forms. If you experience any trouble submitting the form, please contact Sean Conklin, assistant curator and museum educator at the Quick Center.

Email Sean