The Magic of Emerald City Summer Drama Camp Counselor Form (Age 18+)

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The Magic of Emerald City Summer Drama Camp Counselor Form (Age 18+)

Please fill out the form below if you are interested in being a counselor at Drama Camp this summer

Email *

Name *

Address (Street, City, Zip) *

Age *

Cell Phone *

T-shirt Size *

Emergency Contact 1: (Please put name and phone #) *

Emergency Contact 2: (Please put name and phone #) *

Any Special Talents or Abilities (Band, Choir, Dance) *

Theater Experience (List plays and parts) *

Teaching Experience (List experience, i.e. Counselor, Director) *

Pertinent Medical Information/Allergies/Medication *

Please read and mark below:

I recognize that I will not hold South Jackson Performing Arts Center/Association/Performing Arts for Children and Teens, or any of their affiliates responsible in case of an injury or emergency. I understand that if a problem should arise, I will be notified immediately.

I understand and agree

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