Greetings and Welcome to Shake The Stage!

 We are thrilled to embark on an exciting journey with your young performer as we follow Dorothy's courage down the Yellow Brick Road to the city of Oz! This summer, join us as we bring The Wiz Jr. to life in an unforgettable theater experience.

ABOUT THE CAMP

Shake the Stage's 4-week summer camp runs Monday-Friday for youths ages 9-14 from 9:00 AM-4:00 PM and provides students with a well-rounded theater experience. Throughout the camp, students will build essential skills like teamwork, self-expression, and confidence while preparing for the production.

Monday-Thursday: Production Rehearsals- Students will work on acting, singing, and dancing as they bring The Wiz Jr. to life.

Fridays: Adventure Workshops & Outings- Students will participate in immersive workshops and exciting field trips to deepen their understanding of theater production.

Camp Schedule & Locations

 
Ensemble & Role Placements (Mandatory for all participants)

• Dates: June 24th-June 26th, 9:00am -3:00pm
• Location: AASC Creative Space, 460 Gough St., San Francisco, CA 94102

 
Production Camp

• Dates: July 8th-August 2nd, 9:00am- 4:00pm 

Locations:

(AUDITIONS) 460 Gough St., San Francisco, CA

(CAMP) Don Fisher Clubhouse, 380 Fulton St., San Francisco, CA 94102

 
Camp Pricing

Total Fee: $500

Breakdown: $25 per day (20 total camp days)

Includes: Costumes, snacks, field trips, and a camp T-shirt

Scholarships Available

 
We can't wait to see the creativity, joy, and talent your performer will bring to this experience. Let's make this summer one to remember!

 

Parent/Guardian Information

Emergency Information

DCYF Informed Consent & Acknowledgement 

The San Francisco Department of Children, Youth, and Their Families (DCYF) funds our agency and the services we provide. To fulfill the requirements of this funding, we share information about the participants in our services with DCYF. DCYF and the San Francisco Unified School District (SFUSD) maintain a shared, secure database to record information about services provided to San Francisco youth by DCYF’s grantees in order to facilitate outreach and enrollment and track program use and impact. As a DCYF grantee, our agency has access to the shared database to both see and report data about the youth we serve. The data that we report to DCYF is also shared with SFUSD.

By signing this form, you authorize
1. Our agency to share information about your child’s participation in our program (or your participation, if you are 18 years of age or older) with authorized staff at DCYF and SFUSD for the purposes described above.

The information that our agency reports to DCYF includes:
• Person information, such as name, date of birth, and address:
• Demographic information, such as race/ethnicity and gender identity;
• Education information, such as school name and grade level;
• Participation in activities and services, such as dates of attendance dates and hours attended; and
• Anonymous and voluntary youth experience surveys.

2. SFUSD to share certain information about your child (or you, if you are 18 years of age or older) with authorized staff from our program as a DCYF grantee. The information that SFUSD reports to DCYF includes:
• Personal information, such as name, date of birth, and address;
• Education information, such as school name and grade level; and
• Dates of attendance in SFUSD or an SFUSD school.

DCYF, SFUSD, or our agency will not publicly report any information that we provide in a way that may be used to identify your child (or you, if you are 18 years of age or older).

Restrictions: All information that we provide or access that is related to an SFUSD student is protected by federal and state laws that govern the use, disclosure and re-disclosure of student education records. Parties other than DCYF, SFUSD and our agency will not have access to any personally identifiable information that is reported into the database, except to the extent that the parties have obtained prior written authorization from you or have followed SFUSD policies and procedures to obtain access to such information.

Expiration: This authorization expires on June 30, 2029.
Your Rights: You may refuse to sign this form. You may cancel it at any time by information our agency in writing. If you cancel your permission allowing us to release information to DCYF and SFUSD, and SFUSD to our agency, it will go into effect immediately, unless the information has already been released. You have a right to receive a copy of this form.

 

Informed Consent and Acknowledgement

I hereby give my approval for my child’s participation in any and all activities prepared by African-American Shakespeare during the selected program. In exchange for the acceptance of said child’s candidacy by  African-American Shakespeare, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless African-American Shakespeare 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  African-American Shakespeare Company, including all employees, trustees, 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 which may include, but are not limited to, the risk of fractures, paralysis, or death.

Medical Release and Authorization

As Parent and/or Guardian of the named youth participant, 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 treatment for the named participant. 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  African-American Shakespeare Company and its affiliates including Directors, Instructors, and Team Parents 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.

Confirmation

BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE.