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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 82 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:

8 hours ago Today is our first 2D Tuesday with #2Dpete , our traveling turtle! Every Tuesday, we'll be sharing your posts of his adventures. Today, he was spotted hanging out with heroes on #TimesSquare in #NYC ! P.S. Get your own #2dpete at the museum or print him out at theicm.org/2dpete
1 day ago 3... 2... 1... Blastoff! Spring Break has launched! And so has our new space shuttle in the Take Flight exhibit! We are open today (Mon, March 18) from 10 am to 6 pm. Come play, try on some astronaut gear, and learn about cosmic exploration! ‍‍
4 days ago #2DPete is ready for Spring Break! How about you? Stop by front desk or Guest Welcome Center in Coral Ridge to pick up your own 2D Pete to color, cut out, and take on adventures around the museum, around town, or around the world.✈ Share your pictures on social media or submit to our website at theicm.org/2dpete... and your post may win a prize!
5 days ago Happy Pi Day from Pizzeria Pie! Did you know that our pizzeria exhibit helps kids learn math skills? Kids can work with pattern sequence, fractions, measurement, number value, and money calculations as they make and serve pizza.
5 days ago Don't be late! We still have space in our ICM Wonderland Spring Break Camp next week! Claim your adventure down the rabbit hole by registering at theicm.org/camps
1 week ago This spring break, be a star in The ICM’s first commercial! Does your kiddo love acting or playing it up for the camera? Would your family like to star in The Iowa Children’s Museum first-ever commercial?! We’re looking for children and adults to help us film a video advertisement 8:00-11:00 a.m. one morning next week (March 20-22). Once we wrap filming around 11:00 a.m., you can play FREE for the rest of the day. Interested? Visit theicm.org/cast to learn more and apply by 7:00 a.m. Thursday, March 14, 2019, so that we can select our “stars” and make arrangements by next Monday,
1 week ago Come visit Grace at the summer camp expo at Merge from 2-4pm in downtown IC and learn all about our summer camps!
2 weeks ago Kids Disability Awareness Day is tomorrow at The ICM—presented by University of Iowa's Physical Therapy Student Organization! Please join us from 10 AM to 2 PM on Saturday, March 9, 2019, to educate and engage in activities that children of all abilities can enjoy! This event is included with paid admission to The Iowa Children's Museum! Children of all ages are encouraged to participate in fun, educational activities that promote disability awareness, including an assistive device obstacle course, adaptive artwork, therapy dogs, band-aid art, sign language with UI Speech Pathology, adaptive equipment simulation by ChildServe, prizes, and activities with UI

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1451 Coral Ridge Ave.
Coralville, Iowa 52241

Phone: 319-625-6255

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Videography & Photography by TKM Productions