Drama Summer Camp Registration

Camper Information

COVID-19 Risks and Acknowledgement I hereby acknowledge and assume all risks involved in the case of SARS-CoV-2, also known as COVID-19 or the Corona Virus, that unless otherwise stated in an official capacity that my child(ren) will agree to wear a mask, regardless of vaccination status, while on Little Theater of Gastonia's property for the duration of the summer camp to keep themselves, other campers and staff members safe. I hereby acknowledge that if my child(ren) refuses to keep their mask on during the camp, that Little Theater of Gastonia reserves the right to remove that child(ren) from the camp for safety reasons. I hereby acknowledge that any child(ren) removed for any disciplinary reasons, including the refusal to wear a mask, will not be reimbursed by any amount of any fees or costs acculumated for this camp. I hereby acknowledge that if my child(ren) should show any symptoms of COVID-19, that they will stay home until they receive a negative COVID-19 test. These symptoms include but do not exclude: fever, cough, chills, shortness of breath, difficulty breathing, fatigue, muscle/body aches, headache, runny nose, loss of taste and/or smell, sore throat, congestion, nausea, vomitting and/or diarrhea I hereby acknowledge that I accept the risks that my child(ren) may come in contact or contract COVID-19 and absolve Little Theater of Gastonia and all participants, waiving all claims if my child(ren) contract COVID-19 at the time of this camp.  I hereby acknowledge that if my child is unable to finish the camp due to COVID-19, that there will not be reimbursement of the camp fees or registration. 

Informed Consent and Acknowledgement I hereby give my approval for my child’s participation in any and all activities prepared by Little Theater of Gastonia during the selected camp. In exchange for the acceptance of said child’s candidacy by  Little Theater of Gastonia, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Little Theater of Gastonia and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against  Little Theater of Gastonia, including all directors, instructors and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all activities, including theater. 

Medical Release and Authorization As Parent and/or Guardian of the named camper, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, up to the standard of care for minor patients. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to the  Little Theater of Gastonia and its affiliates including Directors, Board Members, and Staff to provide the needed emergency treatment prior to the child’s admission to the medical facility. Release authorized on the dates and/or duration of the registered season. This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.

Allergy and Food Acknowledgement I hereby acknowledge that due to allergies that campers may experience, that all lunches and snacks that I provide for my child will not contain nuts, including but not excluding peanuts, peanut butter, cashews, almonds, pecans nor will I send any products containing shellfish. Furthermore, I agree that my child(ren) will not share food during this camp. 

Media Release and Acknowledgement I hereby give my consent that the Little Theater of Gastonia may use my child(ren) named above image and/or name in relation to this summer camp and affiliated activities for publication and use for, and not limited to, advertising, public relations and histroical archives. This media release includes, but does not exclude, print such as newspaper, brouchers and flyers as well as electronic usage such as all social media platforms and the Little Theater of Gastonia website.

Acknowledgement of Payment  I hereby acknowledge that this registration is only complete when my payment of $150 per camper (and $125 for each subsquent sibling) has been paid in full. I hereby acknowledge I can reserve a spot for my child(ren) by paying half of the registration fee per child ($75) until and exceeding the deadline to complete payment. The deadline for each camper to be paid in full is Monday, June 6th, 2022. I hereby acknowledge that any camper registration that has not been paid in full by this deadline will forfeit their spot in the summer camp. I hereby acknowledge that all camp registration and fees are NON-REFUNDABLE for any reason, including but not excluding failure to fulfill payment by the deadline listed above. I hereby acknowledge that it is not the responsibility of Little Theater of Gastonia or any volunteers or staff employed by Little Theater of Gastonia to remind me or my child(ren) of payments, fees or deadlines.  

Payment can be sent by check to Little Theater of Gastonia, PO Box 302, Gastonia NC 28053 or you can call the office at 704-865-0160 to give your card information.