OWOSSO COMMUNITY PLAYERS
Performing Arts Summer Camp Registration
July 17 - July 22
PRE TEEN - Ages 8-12 (9 a.m.-11:30 a.m.)
TEEN - Ages 13-18 (12:30pm-3:00pm)
During this fun-filled week of theatrics, campers will learn the ins and outs of the theater. They'll take part in acting
games, read scenes, be introduced to improvisation skills, learn a group vocal number from a Broadway show, and even
do some dancing! Campers will spend the week working towards a showcase on Saturday, July 22nd, where families and
friends are invited to see their hard work come to life.
Medical Consent & Release Liability Agreement
I hereby give permission for
to participate in the Owosso Community Players Summer Performing
A r t s Camp.
I declare that I am the parent or legal guardian of the above named
child, and I have custody and control of the child. In the event my
child is injured or should require medical attention, I hereby request
that you contact me or our emergency contact. In t h e e v e n t t h a t
w e c a n n o t b e r e a c h e d , I here by authorize
the
Owosso
Community Players to secure necessary medical treatment for
my child. I further acknowledge that I will be responsible for any
medical or h o s p i t a l
fees or c o s t s associated with m y
c h i l d ’ s medical treatment. I understand that as a participant, my
child may be climbing on and off of stage and set pieces. I further
understand that my child may be running, jumping, dancing and
varied other movements on stage. I understand that my child
may be running, jumping, dancing near moveable set pieces. I assume
all risks and hazards to such participation including transportation to
and from rehearsals and performances and hereby waive, release,
absolve and indemnify and agree to hold harmless, Owosso
Community Players, its organizers, s p o n s o r s , s u p e r vi s ors , and
participants for any claim arising out of accidental injury to my child.
(Please attach an additional sheet for each child)
Student’s Name:
Sex
M/F
Age
School
Parent’s Name
Address
City_
Zip
Email
Home Phone
Work Phone
Cell Phone
Is this your first theatrical experience? If no, please list previous
experiences:
My signature indicated that I have read, understand, and agree to the terms
of the above RELEASE FROM LIABILITY.
Emergency Info
Parent/Guardian Signature
Date
DO YOU GIVE PERMISSION TO THE OWOSSO COMMUNITY
PLAYERS FOR THE FOLLOWING:
Alternate Emergency Contact if parent u navailable:
Name
Public news media photos, film, and interviews?
Publicity photos to be used for future OCP publications?
Yes / No
Yes / No
Parent/Guardian Signature
Date
Relationship
Phone
Any known allergies or other pertinent medical information:
_________________________________________________________
_________________________________________________________
Tuition
Cost is $75* per student for the week-long camp, includes T-Shirt. Tuition must be paid in full with registration. *Tuition assistance available
Camp Size
Camp size is limited to keep it enjoyable and comfortable for all. Be sure to remit your registration early.
Refunds/Cancellation
Cancellations before one week prior to the first day of camp will be reimbursed less a $10 administrative fee. Cancellations after that
date will not receive a refund or credit. Fees for camps cannot be transferred to other OCP events.
Registration
By Mail: Submit your registration form with payment (make checks payable to Owosso Community Players) to Owosso
Community Players, C/O Summer Camp, 114 E. Main, Suite 222, Owosso, MI 48867
In Person: Submit your registration form with payment in the BOX OFFICE, 114 E. Main, Suite 222, Owosso, MI 48867, open
Monday – Wednesday10 am – 2 pm.