TheaterCamp Registration TheatreCamp Registration - 2017 Please register one child at a time if you have more than one. After filling out the form you will be directed to PayPal to pay the fee using a credit card or PayPal account. Student's Name* First Last Male/Female*FemaleMaleAge*Which camp are you registering for:*July 31 to Aug 4 ~ 8 to 11 year oldsAug 7 to Aug 11 ~ 12 yo 14 year oldsAddress* Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Parent/Guardian Name* First Last Home Phone*Work Phone*Cell Phone*Parent/Guardian Email* T-Shirt Size*Youth-SmallYouth-MediumYouth-LargeYouth-Extra LargeAdult-SmallAdult-MediumAdult-LargeAdult-Extra LargeSpecial Needs/Allergies/Comments?How did you hear about our camp?What other theatre camps have you attended?Park Use Fee ConsentPark Use Fee Acknowledgement Checking the box below acknowledges that there is a daily park use fee of $5, which covers your child's day in the state park. There is no charge to pick up your child. If your vehicle has a state park sticker, there is no fee.I acknowledge the park use fee* Acknowledgement ConsentsEmergency Consent: I hereby give consent for my child to receive emergency medical treatment from a physician or emergency facility in case I cannot be reached immediately in an emergency. I hereby give my child permission to participate in all camp activities. Photo Release: I give my permission for SummerStage and Sudbrink Performance Academy to use my child’s photos taken at any TheatreCamp activity, in their publications. I release my right to any kind of remuneration from said photos.Leaving Camp Early: Please note that no refunds will be granted to anyone leaving the camp early.Signature. Please type in your name.*Date* Choose Full Payment*175 ~ Full PaymentYou may cancel up to two weeks prior to the camp with a $50 cancellation fee.Total $0.00 Type in characters and submit form. This iframe contains the logic required to handle AJAX powered Gravity Forms.