6th-12th Grade Drama Camp Registration

Medical Protocols:

• Little Theater of Gastonia staff's protocols for camps & classes is to notify 9-1-1, call the primary parent/legal guardian listed and emergency contact - in that order.
• Little Theater of Gastonia staff is not authorized to administer medicine outside of the ones listed above that parent/legal guardians affirm staff can give to a camper during emergencies.
• Little Theater of Gastonia does have an on-site first aid kit for minor injuries

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.

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.

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 $300 per camper (and $275 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 ($150) until and exceeding the deadline to complete payment.

Registration fees must be paid partially or in full before my child is considered registered. These fees must be paid within 14 days of initial registration or my form will be dropped from the system and I will have to fill out a new registration to continue. 

The deadline for each camper to be paid in full is Friday, April 5th, 2024. 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/money order to: 

Little Theater of Gastonia

PO Box 302

Gastonia NC 28053 

 -or-

Online via PayPal: Click to Pay Here

*Please note that sending a check or money order into the physical address will result in your mail being returned to you, as there is not a mailbox at our physical location and so all mail must be sent to our PO Box.