Summer Camp Registration

Musical Theatre Summer Camp

Sydenham Heritage United Church
Full Name*

First NameLast Name
Parent/Guardian 1 Name *

First NameLast Name
Parent/Guardian 2 Name

First NameLast Name
Phone Number*
E-mail
example@example.com
Student Email
example@example.com
Grade*
Emergency Contact*

First NameLast Name
Emergency Contact Phone Number*
Please enter a valid phone number.
Shirt Size*

Youth XSYouth SYouth MYouth LYouth XLAdult XSAdult SAdult MAdult LAdult XLAdult XXL
Camp Weeks

July 7 - 11 School of (We Will) Rock YouJuly 14 - July 18 Defy The Yellow Brick Train To Hogsmede.July 20- 25 Into The SuperVerseJuly 28 – Aug 1 Shaking Off A Cruel Summer! It's Me, Hi, The Taylor Week, It's Me.
Themes

School of (We Will) Rock You: Schools out for...we will, we will!

Defy The Yellow Brick Train To Hogsmede: Witches, Wizards and Potter's, Oh My!

Into The SuperVerse: Super Hero Training.

Shaking Off A Cruel Summer! It's Me, Hi, The Taylor Week, It's Me.
Allergies/Medical Conditions
Consent To Photography/Videography For Promotional Purposes*

YesNo
20 Performing Arts Academy Release of Liability & Waiver For the purposes of this release of liability and waiver, “I/we” refers to the student and parent/guardian of the student, if the student is under 18 years of age upon registration. I/we realize that participation in music, dance, and theatre classes and activities could involve personal injury/death. Despite precautions being taken by 20 Performing Arts Academy, accidents, injuries or death may occur. By submitting this registration form, I/we assume all risks related to the use of any and all spaces used by 20 Performing Arts Academy. I/we agree to release from responsibility 20 Performing Arts Academy, including all crew, students, teachers, staff members, and facilities used by all entities from any class action, claims, or demands now and in the future. I/we will not hold 20 Performing Arts Academy liable for any personal injury/death or any personal property damage/loss, which may occur on the premises before, during or after classes/rehearsals/performances. Furthermore, I/we agree to obey the company and facility rules and take full responsibility for my/our behaviour in addition to any damage I/we may cause to the facilities utilized by 20 Performing Arts Academy. I understand that 20 Performing Arts Academy is a licensed and insured organization. In the event that I/we should observe any unsafe conduct or conditions before, during or after my/our classes/rehearsal/performances, I/we agree to report the unsafe conduct or conditions to the administrator, instructors or staff members as soon as possible. By submitting registration, I/we indicate that I/we understand and agree to the above statements, and release 20 Performing Arts Academy of any liability.*

Yes
How did you hear about us?*
Please Specify*
We're excited to have you! In order to confirm your registration, please send an E-transfer with the Student's name in the memo section to 20paa@theresaproduction.com
Should be Empty:

Musical Theatre Summer Camp