YAG Summer 2021
Dates: July 26-August 13
Hours: 9AM -3PM
Drop off between 8-9AM, Pick up between 3-4PM
Cost for Camp: $690
Place: Connect Center for Youth 49 Johnston Ave., Cohoes, NY 12047
Performance opportunity participation: (if we are able to do a live performance) will require additional ticket sales.
Contact us at 518-478-5326 • Bestyagever@gmail.com

Please send your deposit of $200 to bestyagever@gmail.com on PayPal. Deposits are non-refundable
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Email *
Student's Name *
Date of Birth *
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Parent's Name *
Parent's Email *
Address *
Phone # *
In Case of Emergency
Emergency Contact *
Emergency Phone # *
Family Doctor *
Doctor's Address *
Allergies *
Medications Being Taken *
Medical problems we should be aware of *
I give permission to Young Actors Guild staff to consent to medical treatment/healthcare services without limitation, on behalf of my/our child/children in my/our stead as may be deemed necessary, proper or prudent in the discretion of said agent, employee and/or chaperon *
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Insurance Provider
Because decisions are made regarding rentals and royalties based on enrollment, I understand that unless arrangements have been made due to prior concerns, tuitions are not refundable once a program begins. *
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ID#
It is important to the entire cast and staff that the student participates in all weeks of the program. If you become aware of any necessary absences, please inform us by calling 518-478-5326 and leave a voice mail. **If a student misses 3 rehearsals they will not be able to participate in the production.** If you are aware of any days that your child will not be able to attend the program, please list them below: *
A copy of your responses will be emailed to the address you provided.
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