Presidents' Day Theatre Day-Camp
Please answer each question. Use "N/A" as needed.
Name of Participant
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Address:
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City:
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State:
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Zip:
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Primary Phone:
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School Attending:
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Grade:
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Name of Parent or Guardian
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Age:
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Parent Email Address:
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Student Email Address (if applicable)
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I, the undersigned, am the parent and/or legal guardian of the child identified on the reverse. By and through my signature affixed below, I do hereby give my authorization and consent for my child to participate in the Theatre Day-Camp sponsored by The Arts Partnership of Greater Hancock County. Further, I agree to release and hold harmless The Arts Partnership of Greater Hancock County, its Board of Directors, agents or volunteers against any liability, loss, damages and/or expense, in law or equity, by any person or persons resulting from the administration, performance, planning, preparation, development, conduct, and execution of the Theatre Day-Camp. I fully understand that my child may be included in photos or videos for promotion of the program or production or for archival purposes. I give permission for program staff to photograph or videotape my child and include my child in photographs or videos utilized by The Arts Partnership for its legitimate purposes, including, but not limited to, organizational/event promotion.
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