Registration Form/Camps & Musicals

Shanelle Gray Studios

Shanelle Gray Studios
Legal Name *

First Name Last Name
Age *
D.O.B *
Phone Number *

Area Code Phone Number
E-mail *
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Emergency Contact Name *

First Name Last Name
Emergency Phone Number *

Area Code Phone Number
Gender *

Male Female

For Movie Camp Do you have an IMDB? Please write N/A for other camps *
If so, tell us the name and one credit associated with your page/For other camps please write N/A *
If not-what name would you like to be? For other camps, please write N/A *
Please check which event at SGS *

Summer Make a Movie Winter Make a Movie Spring Make a Movie Fall Make a Movie Musical Theatre Camp Fall Musical Production Spring Musical Production Summer Musical Production
What date or dates are you requesting? *
If Make a Movie camp- is it the Actor Camp? *

Yes No
If make a movie camp, is it the Directors Camp? *

Yes No
Are you doing both actor Make a Movie camp and director make a movie camp?

Yes No
PLEASE NOTE IF YOU DO NOT PROVIDE US WITH PROPER INFO FOR AN IMDB CREDIT FOR YOUR CHILD FOR MAKE A MOVIE CAMP,
YOUR CHILD WILL NOT BE CREDITED WITH AN IMDB CREDIT. IF WE
CREDIT THE WRONG NAME AND YOU DIDN’T GIVE CORRECT INFO
YOU WILL BE RESPONSIBLE FOR MERGING THE PAGES AND
FIXING THE NAME.

GETTING AN IMDB CREDIT IS HARD AND CAN ONLY BE DONE WITH A LEGITIMITATE CREDIT! WE ARE GIVING YOU A CREDIT BUT YOU MUST CLAIM YOUR OWN PAGE AND PAY FOR YOUR OWN ACCOUNT. WHEN WE SEND YOUR FILM, WE WILL SEND INSTRUCTIONS TO DO SO-SO YOU CAN ADD PICTURES TO THE ACCOUNT AND MAKE IT YOUR OWN.

THE FILMS WILL BE COMPLETED AT THE END OF SUMMER IF IT IS A SUMMER MAKE A MOVIE CAMP AND 6-8 WEEKS AFTER YOUR MAKE A MOVIE CAMP FOR ANY OTHER SEASON AND SENT ALL AT ONCE, WITH IMDB AND FILM-PLEASE BE PATIENT. YOU WILL LOVE THEM!

FOR MUSICAL THEATRE CAMP, WE WILL HAVE A FUN INFORMAL SHOW ON THE LAST DAY OF CAMP! PLEASE BRING WHOMEVER YOU WANT! WE WILL SEND AN EMAIL TO YOU AS A REMINDER BUT PLAN AHEAD!

FOR OUR MUSICALS, TICKETS ARE $30-$50 EACH FOR THE PRODUCTION (DEPENDING ON SEATING) ALL PROCEEDS GO BACK TO THE PROGRAM TO MAKE EVEN MORE AMAZING PRODUCTIONS! THANK YOU!

**Please note if you take more than one week of ANY camp in a year the subsequent camps are discounted by $100 each additional one.
Health Portion:
The information you provide here will be held in the strictest confidence. This will be used for emergency only.
Doctor Name *
Doctor Phone Number *
Does the child have allergies *
If so, to what? *
Is your child on medication? *
If so, please let us know what kind. We are not allowed to administer but will work out how to make sure they get it. *
Does your child have anxiety? *
Is there anything you want to tell us about your child? *
Consent
To the extent allowed by law, I, the undersigned am the parent/guardian of the individual(s) named below, and shall hold harmless, indemnify and defend Shanelle Gray Studios, employees, volunteers and agents/outside service or contractor of each of them from and against any and all liability, loss, damage, expense, cost of every nature, and causes of actions arising out of or in connection with any negligence in the performance of this agreement. It is further understood and agreed that this waiver, release and assumption of risk to be binding on my heirs and assigns. I also release Shanelle Gray Studios and any representative associated with Shanelle Gray Studios of liability for any claims that may arise out of activity-which includes driving. Shanelle Gray Studios also reserves the right to remove participants from the program for any reason. I hereby grant permission to Shanelle Gray Studios to take my child’s photo while participating in the activities to use for publicity.

All employees at Shanelle Gray Studios have been live scanned and FBI cleared and every person associated with camp the same.

I have read this entire Informed Consent Agreement. I fully
understand it and I agree to be legally bound by it.
Signature *

Clear
Payment Agreement
$650 per week of Make a Movie camp.

For director's Make a Movie camp you must take two weeks of Make a Movie camp. $100 off the 2nd week

$1000 per week to Direct and Act in Make a Movie camp

$950 for two weeks of Musical theatre camp ($475 per week)

$1000 for musical productions 8 weeks

Cancellation policy:

4 weeks or under-Full refund (EXCEPT FOR NON REFUNDABLE DEPOSIT)

2 weeks or under-50% refund Under 2 weeks-no refund

I have read this entire Informed Consent Agreement. I fully
understand it and I agree to be legally bound by it. $200 non refundable deposit will be charged upon any booking. This shall not come back to me in the event of any cancellation as this is an administrative fee.
Signature

Clear
Credit Card Number *
Exp Date *
Signature *

Clear
We cannot wait to work with you!!!
Should be Empty:

Shanelle Gray Studios

Health Portion:

Consent

Payment Agreement