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Sycamore Summer Theatre
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Camp Enrollment Form
Parent Email for Camp Communication
Parent #1 Name
Parent #1 Phone Number
Parent #2 Name
Parent #2 Phone Number
Emergency Contact Name (Not Parent 1 or 2)
Emergency Contact Phone Number
Have you enrolled a student in one of our camps before?
Yes
No
Student First Name
Student Last Name
Student's Gender
Male
Female
Other
Allergies
Student's Grade (2023-2024 School Year)
1
2
3
4
5
6
7
8
Theatre Camp
Session 1 June 10-14
Session 2 June 17-21
Musical Theatre Camp (FULL)
June 10-14 & June 17-21
I understand that this is a private youth summer camp and particiption requires my child to operate in a group setting. Individual student supports are not available.
I grant permission for the above-named participant to engage in all activities of the above-named program. I, on behalf of my child, voluntarily assume all risks, and hazards to such participation including transportation to and from Sycamore High School. I hereby release, indemnify and hold harmless Sycamore Summer Theatre LLC, the facility owner Sycamore Community Schools and employees of the above for any injury, damage or loss suffered during the program.
I authorize Sycamore Summer Theatre staff to employ medical assistance for my child in the event he/she suffers an illness or accident while participating in the program. I agree that Sycamore Summer Theatre staff may act independently of me should action be deemed necessary for the safety and well-being of my child.
I agree to the above statements and consent to the use of my digital signature below to certify this agreement
Your Signature (Sign with mouse or finger)
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Select Camp to move to checkout
Theatre Camp June 10-14 (Session 1) - $207.74
Theatre Camp June 17-21 (Session 2) - $207.74
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