Summer Camp forms for CentreStage Theatre
2018

This summer, CentreStage Theatre will be holding drama camps for children aged 5 -15 years. In these camps, participants will learn stage skills such as use of voice, movement, character development, and technical aspects. Everyone will also have a part in the drama that will be performed at the end of the camp.

The camps will run 9:00-3:00 Monday to Friday.
Performances will be on Friday as listed
Camp costs: $150 per person per week.
Each participant is responsible for bringing a lunch. CentreStage will provide all snacks.


To apply, fill in the registration form below (one form per youth – one form sufficient for multiple camps). Registration is not complete until payment is received.

Payment may be sent via email transfer to jchurchill@ns.sympatico.ca . Please send a separate email with the answer to the security question. Please include the camper's name in the notes.
Cheques may be mailed to CentreStage Theatre Society, PO Box 742, Kentville, NS B4N 3X9

For more information, call 678-3502
or email nandghenry@eastlink.ca or jchurchill@ns.sympatico.ca
www.centrestagetheatre.ca


Please fill out one form per participant
Camp Fee: $150
Name of Participant *
Your answer
Age *
Your answer
Date of Birth *
Your answer
Name of Parent or Guardian *
Your answer
Address *
Your answer
City *
Your answer
Postal Code *
Your answer
Telephone Day
Your answer
Telephone Evening
Your answer
Cell
Your answer
Email Address *
Your answer
Nova Scotia Health Card # *
Your answer
Expiry *
Your answer
Emergency Contact (Name & Tel #) *
Your answer
Allergies/Medical conditions, if any (attach separate page if required *
Your answer
School Attended
Your answer
Theatre Experience, if any
Your answer
By checking the box below, you are effectively providing your signature, indicating that all the information on this form is true and accurate, to the best of your knowledge. *
Required
Please note: Photos may be taken during the camp and are the property of CentreStage Theatre. They may be used in future publications. Parents/Guardian will be contacted directly if a photo is to be used. I give permission to allow a photo of my camper to be used. *
I desire that the child named above participate in the CentreStage Theatre Camp and all its activities, unless I advise otherwise in writing. I agree that, having taken the precautions that, in your discretion, are deemed advisable, the theatre, its directors and its staff will not be held responsible for any sickness or accident to my child. *
Which camps will you be attending? ($150/week) *
Required
All final performances will be filmed by Wild Lupin Media. DVDs costing $25 may be pre-ordered with this application or at the time of the performance. If you prefer the DVD to be mailed out to you, the cost will be an extra $5.00. Otherwise, you will notified as to when you can pick up the DVD.
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