Summer Camp Application

Aurora Arts Theatre presents
Young Actor’s Summer Camp
2017 Camp Application
Ages 7 to 15
Hours:
Sessions run Monday through Friday from 9am to 3:30pm
Drop off at 8:30am
Sessions
Please select camp session(s) to be attended:
Session 1 ­ “BROADWAY BOUND! - Musical”
June 5th – June 16th, 2017 - PERFORMANCE - Friday June 16th, 2017
2 weeks - $300 per person
Session 2 - “TAKE THE STAGE! ­ Non- Musical”
June 26th – July 7th , 2017 - PERFORMANC - Friday July 7th, 2017
2 weeks - $300 per person
Session 3 - “BROADWAY BOUND! ­ Musical”
July 31st – August 11th, 2017 - PERFORMANCE - Friday August 11th, 2017
2 weeks - $300 per person
A non-refundable deposit of $100 secures your spot. Balance paid in full a week before each session begins.
Multiple Session Discounts Available
Agreement
I understand that my child will participate in all daily camp activities and performances. I will avoid scheduling
non-emergency appointments during camp days and I will not request early release or late arrival dates for my
child during theater camp. My signature below confirms that I agree to comply with these policies. We are requesting this in order to
offer the best possible camp experience.
Parent/Guardian Signature:
Camper’s First Name:
Gender:
M
Last Name:
F Age at start of camp:
Date of Birth:
/
/
Personal Information
Please print neatly.
Parent(s) or guardian(s) name(s):
Mailing address:
City/Zip:
Home phone number: (
Parent’s cell phone: (
Emergency contact’s name:
)
)
-
Parent’s work phone: (
)
-
Contact E-mail:
Phone number: (
)
-
Names & phone numbers of persons (other than parents/guardians and emergency contact) authorized to pick my child
up from camp:
** If you do not list anyone below, parents/guardians listed above will be the ONLY people authorized for pick up**
Name:
Phone: (
)
-
Name:
Phone: (
)
-
Each child attending the camp will receive a camp backpack and supplies for notes.
Each child is responsible for bringing their own snacks and lunch.
Bottled water will be provided.