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319-625-6255Coral Ridge Mall • Coralville, IA

Children & Adults (Ages 1-59) $9 - Seniors $8 - Members FREE

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Iowa Children's Museum

Power of Play | Coralville, Iowa

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Showing 1–16 of 80 results

Placeholder — AM Extended Care (January 2, 7:45 AM – 9 AM)

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (January 2, 7:45 AM – 9 AM)

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (January 3, 7:45 AM – 9 AM)

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (January 3, 7:45 AM – 9 AM)

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (January 4, 7:45 AM – 9 AM)

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (January 4, 7:45 AM – 9 AM)

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (July 16-20, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (July 16-20, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (July 23-27, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (July 23-27, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (July 30-Aug 3, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (July 30-Aug 3, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (July 9-13, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (July 9-13, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (June 18-22, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (June 18-22, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Extended Care (June 25-29, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Extended Care (June 25-29, 7:45-9 AM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Session (Aug 6-10, 9 AM – 12 PM, Kinder Camp)

1. Fill out the information below, then hit “Submit.”

2. Select either the AM or PM session, then confirm name(s).

(Full-day sessions not available for Kinder Camp.)

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Session (Aug 6-10, 9 AM – 12 PM, Kinder Camp)

1. Fill out the information below, then hit “Submit.”

2. Select either the AM or PM session, then confirm name(s).

(Full-day sessions not available for Kinder Camp.)

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Session (July 16-20, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Session (July 16-20, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Session (July 23-27, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Session (July 23-27, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Session (July 30-Aug 3, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Session (July 30-Aug 3, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Session (July 9-13, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Session (July 9-13, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Session (June 11-15, 9 AM – 12 PM, Kinder Camp)

1. Fill out the information below, then hit “Submit.”

2. Select either the AM or PM session, then confirm name(s).

(Full-day sessions not available for Kinder Camp.)

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Session (June 11-15, 9 AM – 12 PM, Kinder Camp)

1. Fill out the information below, then hit “Submit.”

2. Select either the AM or PM session, then confirm name(s).

(Full-day sessions not available for Kinder Camp.)

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Placeholder — AM Session (June 18-22, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

Add a new row — AM Session (June 18-22, 9 AM – 12 PM, School-Age Camp)

1. Fill out the information below, then hit “Submit.”

2. Select your session(s) and optional extended care, then confirm name(s) and grade level(s).

Plan to join us for a full-day session? Select both the AM and PM sessions.

3. Click “Add to cart.”

Child/children Information
Child/children attending*
Name Birthday

Does your child have allergies?*
Yes
No
If yes, please list allergen(s).
Please describe your child's response to the allergen(s).
Provide information about action that needs to be taken if your child encounters the allergen(s).
Special Needs
Please note: The Iowa Children's Museum welcomes children of all abilities to participate in ICM camps; however, we are unable to assign a staff member to each child. If your child requires one-to-one care and attention, please contact Aimee Mussman at amussman@theicm.org or 319.295.6255 ext. 216.
Please list any special needs your child has.
Please share any accommodations that need to be made due to special needs.
Parent/Guardian Information
Parent/guardian contact information*
Name Phone Number Address / City, State Zip

Emergency Contact
In the case of an emergency where we are unable to contact you or your spouse, please provide an emergency contact.
Emergency contact information*
Name Home Phone Cell Phone Work Phone

Parental Emergency Medical Consent
In the event that my child (listed above) may require medical and/or surgical care while I am unable to be reached, I hereby give my consent to medical and/or surgical treatment. In the event that my child (listed above) may require dental and/or dental surgical care while I am unable to be reached, I hereby give my consent for dental and/or dental surgical treatment. I agree to pay all the costs and fees contingent on any emergency medical care and/or treatment for my child as secured or authorized under this consent. COMMENT: Every effort will be made to notify parents/guardians immediately in case of emergency. This form will be presented upon admission for treatment.
Parent/Guardian Name*
Parent/Guardian Signature*
Today's Date*

Please check next to each statement to indicate your agreement.*
I understand that my child needs to be able to participate appropriately in camp activities. If my child displays unsafe or disruptive behavior, I understand that I will be contacted to discuss possible solutions to the situation.
I authorize The Iowa Children’s Museum to administer first aid to my child.
Photographs or video recordings may be taken during camp for use by The Iowa Children’s Museum. Identifying information will NOT be published. I give permission for my child’s image to be used in any or all media.

Select options

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Follow @iachildrensmuseum on Instagram:

2 weeks ago Let's take a look back at how we played (and some of the great things we accomplished) in 2018! P.S. You can read all about it at theicm.org/blog
2 weeks ago Thanks to everyone who came to play and celebrate 2019 a few hours early at our Noon Year's Eve celebration!
2 weeks ago We are open on New Year's Eve and New Year's Day... Come play! Also, our Noon Year's Eve celebration just started. Join us in ringing in 2019 a few hours early! Countdown and balloon drop at noon!
3 weeks ago Coming to play? Remember to bring your membership card so you can enjoy expedited check-in!
3 weeks ago Happy holidays to all our visitors, supporters, sponsors, donors. and staff! Hope you all have a merry day!
4 weeks ago Ahoy, matey! This imaginative young shipwright built a pirate ship in the Blue Room today.
1 month ago What did you discover at The ICM today?
1 month ago Thanks to Shimek After School Specials for rocking out at The ICM today! Did you catch the concert?

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1451 Coral Ridge Ave.
Coralville, Iowa 52241

Phone: 319-625-6255

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