Summer Camp 2025 Registration Form
Caregiver Name
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First Name
Last Name
Caregiver Email
*
example@example.com
Caregiver Phone Number
*
Please enter a valid phone number.
Student 1- Name
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First Name
Last Name
Student 1 - Date of Birth
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Month
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Day
Year
Date
Student 1 - Rising Grade Level (Fall 2025)
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What program(s) are you registering Student 1 for?
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Magic Trunk June 23 - 27 Rising Grades K - 1
Acting Intensive - Devising June 23 - 27 Rising Grades 7 - 12
Magic Trunk June 30 - July 3 Rising Grades K - 1
High School Intensive - Audition Workshop Half Day July 14 - 18 Rising Grades 9 - 12
Theatrical Design July 21 - 25 Rising Grades 7 - 12
Ready, Set, Improv July 21 - 25 Rising Grades 6 - 8
Camp Half Blood July 21 - 25 Rising Grades 4 - 6
Middle School Shakespeare - Romeo and Juliet July 28 - August 1 Rising Grades 5 - 8
Waitlist - The Hobbit June 30 - July 3 Rising Grades 3 - 5
Teen Shakespeare Conservatory July 7 - 11 Rising Grades 7 - 12
Waitlist - Magic Trunk July 7 - 11 Rising Grades 1 - 2.
Waitlist - Ready, Set, Improv July 14 - 18 Rising Grades 4 - 6
Waitlist - Frog & Toad Camp July 14 - 18 Rising Grades 2 - 3
Waitlist - Summer in Wonderland July 28 - August 1 Rising Grades 2 - 3
Waitlist - Charlie and the Chocolate Factory August 4 - 8 Rising Grades 3 - 5
Ready, Set, Improv August 4 - 8 Rising Grades 6 - 8
PLEASE NOTE: The following camps are full. **Please email Stacey (Education Assistant) at staceysc@portlandstage.org to be put on the waitlist.**
The Hobbit June 30 - July 3 Rising Grades 3 - 5 Magic Trunk July 7 - 11 Rising Grades 1 - 2 Ready, Set, Improv July 14 - 18 Rising Grades 4 - 6 Frog & Toad Camp July 14 - 18 Rising Grades 2 - 3 Charlie and the Chocolate Factory August 4 - 8 Rising Grades 3 - 5 Summer in Wonderland July 28 - August 1 Rising Grades 2 - 3
Does your student (student 1) have any allergies or other health concerns that our education staff should be aware of?
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Yes (please list below)
No
If yes, please list them below:
Does your student (student 1) have any communication, mobility, or other needs that you would like us to know about?
*
Yes (please list below)
No
If yes, please list them below:
Anything else you would like for us to know about your student (student 1)?
Student 2 - Name
First Name
Last Name
Student 2 -Date of Birth
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Month
-
Day
Year
Date
Student 2 - Rising Grade Level (Fall 2025)
What program(s) are you registering Student 2 for?
Magic Trunk June 23 - 27 Rising Grades K - 1
Acting Intensive - Devising June 23 - 27 Rising Grades 7 - 12
Magic Trunk June 30 - July 3 Rising Grades K - 1
High School Intensive - Audition Workshop Half Day July 14 - 18 Rising Grades 9 - 12
Theatrical Design July 21 - 25 Rising Grades 7 - 12
Ready, Set, Improv July 21 - 25 Rising Grades 6 - 8
Camp Half Blood July 21 - 25 Rising Grades 4 - 6
Middle School Shakespeare - Romeo and Juliet July 28 - August 1 Rising Grades 5 - 8
Waitlist - The Hobbit June 30 - July 3 Rising Grades 3 - 5
Waitlist - Magic Trunk July 7 - 11 Rising Grades 1 - 2.
Waitlist - Teen Shakespeare Conservatory July 7 - 11 Rising Grades 9 - 12
Waitlist - Ready, Set, Improv July 14 - 18 Rising Grades 4 - 6
Waitlist - Frog & Toad Camp July 14 - 18 Rising Grades 2 - 3
Waitlist - Summer in Wonderland July 28 - August 1 Rising Grades 2 - 3
Waitlist - Charlie and the Chocolate Factory August 4 - 8 Rising Grades 3 - 5
Waitlist - Ready, Set, Improv August 4 - 8 Rising Grades 6 - 8
PLEASE NOTE: The following camps are full. **Please email Stacey (Education Assistant) at staceysc@portlandstage.org to be put on the waitlist.**
The Hobbit June 30 - July 3 Rising Grades 3 - 5 Magic Trunk July 7 - 11 Rising Grades 1 - 2 Teen Shakespeare Conservatory July 7 - 11 Rising Grades 7 - 12 Ready, Set, Improv July 14 - 18 Rising Grades 4 - 6 Frog & Toad Camp July 14 - 18 Rising Grades 2 - 3 Ready, Set, Improv August 4 - 8 Rising Grades 6 - 8 Charlie and the Chocolate Factory August 4 - 8 Rising Grades 3 - 5 Summer in Wonderland July 28 - August 1 Rising Grades 2 - 3
Does your student (student 2) have any allergies or other health concerns that our education staff should be aware of?
Yes (please list below)
No
If yes, please list them below:
Does your student (student 2) have any communication, mobility, or other needs that you would like us to know about?
Yes (please list below)
No
If yes, please list them below:
Anything else you would like for us to know about your student (student 2)?
I allow Portland Stage to use my child's photo, video or audio:
*
Yes, can use in marketing
No, do not use in marketing
Release Information
I understand these activities may include certain risks including, but in no way limited to: (1) moderate & severe personal injury, (2) property damage, (3) disability, (4) death, & (5) sickness or disease including, without limitation, COVID-19. I specifically release Education, its owners, directors, employees, & volunteers from any claim of any kind arising from my student’s participation in the Education program.
Initial
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Behavior Policy
We are committed to working with students, parents, and guardians to ensure everyone has a positive experience at Portland Stage. Each student is expected to engage with others in a safe and respectful manner to help everyone achieve the best possible experience. If our Teaching Artists or Staff have a concern regarding a camper’s behavior, our policy is: 1. Teachers/Staff will redirect the student to more appropriate behavior. 2. If inappropriate behavior continues, the student will be reminded of the camp expectations and behavior guidelines. Together, the student & teachers/staff will decide on action steps to correct the behavior. 3. If disruptive behavior continues and/or is affecting the safety or well-being of others, Education staff will contact the parents or guardians. 4. If inappropriate behavior continues, as a final action step, the student may be dismissed from camp. (Please note – Student fees are non-refundable if a student is sent home for disciplinary reasons). I have read and agree to the Behavioral Dismissal policy. If you have any questions, please contact education@portlandstage.org
Initial
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Signature
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Date
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Month
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Day
Year
Date
PLEASE NOTE: This registration is not complete until the payment is completed on next window.
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