Sword and Sorcery  Summer Adventure Registration Form
Eldritch Theatre's Sword & Sorcery Summer DnD Teen Adventure 
July 17 - 21, 2023

Online
1PM- 4PM
$200 +HST ($226)
$179 +HST for Eldritch Members ($202.27) 
*
Zoom link to be sent to the registered email; please log in 5 minutes before the game start.


In Person
1:30PM - 5:30PM
at Red Sandcastle Theatre, 922 Queen St East
$225 + HST (258.75)
$200 + HST for Eldritch Members
 ($226)

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Which Adventure would you like to participate in? *
Required
Camper Name + Pronouns *
IN PERSON: Camper Address
Camper Age *
Parent/Guardian Name *
Parent/Guardian Phone Number *
Parent/Guardian Email  *
I am an Eldritch Member *
ONLINE: Camper's Email (For Zoom Link)
Parent/Guardian Alternate Phone Number
IN PERSON: Names of trusted guardians for pick up/drop off other than that of above. *note if they are not on this list they will not be allowed to leave with this adult*
IN PERSON: Emergency Contact's Name + Relationship to Camper
IN PERSON: Emergency Contact's Phone Number
Emergency Contact's Alternative Phone Number
IN PERSON: Does the camper have any allergies, chronic illness, or medical conditions? If yes, please describe. Include any medications they may use during camp.
Camper bio, and things that would help them have a wondrous time with us had we only known this?  May include learning styles and abilities, friends in the group, sensitivities that we can accommodate... *
What level of gaming has this witch or warlock done in the past? *
Required
Informed Consent and Acknowledgement: I hereby give my approval for my child’s participation in any and all activities prepared by Eldritch Theatre during the selected camp. In exchange for the acceptance of said child’s candidacy by Eldritch Theatre, I assume all risk and hazards incidental to the conduct of the activities, and release, absolve and hold harmless Eldritch Theatre and all its respective officers, agents, and representatives from any and all liability for injuries to said child arising out of traveling to, participating in, or returning from selected camp sessions. In case of injury to said child, I hereby waive all claims against Eldritch Theatre including all coaches and affiliates, all participants, sponsoring agencies, advertisers, and, if applicable, owners and lessors of premises used to conduct the event. There is a risk of being injured that is inherent in all movement activities. Some of these injuries include, but are not limited to, the risk of fractures, paralysis, or death. *
Once we contact you with confirmation of your placement, you will be asked to send payment to Eldritch Theatre Incorporated c/o eric@eldritchtheatre.ca *
IN PERSON: Informed Consent and Acknowledgement: Staff and campers are to perform good hand hygiene care throughout the day (soap and hand sanitizer will be provided by Eldritch Theatre), proper mask wearing that covers the mouth and nose and chin, and food and drink will only be consumed outside. Should your child display any symptoms or if you should have reason to believe your child has come into contact with someone with COVID19 you will refrain from coming in to camp. Camper parents will also notify our staff of any positive test contact so that Eldritch Theatre may communicate with staff and other parents.
IN PERSON: Medical Release and Authorization: As Parent and/or Guardian of the named child, I hereby authorize the diagnosis and treatment by a qualified and licensed medical professional, of the minor child, in the event of a medical emergency, which in the opinion of the attending medical professional, requires immediate attention to prevent further endangerment of the minor’s life, physical disfigurement, physical impairment, or other undue pain, suffering or discomfort, if delayed. Permission is hereby granted to the attending physician to proceed with any medical or minor surgical treatment, x-ray examination and immunizations for the named athlete. In the event of an emergency arising out of serious illness, the need for major surgery, or significant accidental injury, I understand that every attempt will be made by the attending physician to contact me in the most expeditious way possible. This authorization is granted only after a reasonable effort has been made to reach me. Permission is also granted to Eldritch Theatre and its affiliates including directors, instructors, and volunteers to provide the needed emergency treatment prior to the child’s admission to the medical facility.Release authorized on the dates and/or duration of the registered season.This release is authorized and executed of my own free will, with the sole purpose of authorizing medical treatment under emergency circumstances, for the protection of life and limb of the named minor child, in my absence.
Confirmation - BY ACKNOWLEDGING AND SIGNING BELOW, I AM DELIVERING AN ELECTRONIC SIGNATURE THAT WILL HAVE THE SAME EFFECT AS AN ORIGINAL MANUAL PAPER SIGNATURE. THE ELECTRONIC SIGNATURE WILL BE EQUALLY AS BINDING AS AN ORIGINAL MANUAL PAPER SIGNATURE. *
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