Barlow Theatre Camp - Registration Form
Email *
Student First & Last Name *
Mailing Address *
City *
State *
Zip Code *
Where does the student attend school? *
What will the students grade be for 2023-2024 school year? *
Parent Name *
Parent Phone Number *
Parent Email *
What is the students t-shirt size? *
Emergency contact name *
Emergency contact phone
Health Insurance Company
Health Insurance ID/Member Number
Please list any food allergies the student may have *
Please list any health concerns that we should know about the student *



Any sport/activity which may result in contact with fixed or moving surfaces will contain inherent risks of serious bodily harm which cannot be eliminated. The possibility of injuries from these dangers must be accepted by the player and the player’s family. The possibility of injury can be reduced, but not eliminated, by knowing and using proper technique and fundamentals, maintaining good physical conditioning, being alert at all times and attending all training and practice sessions. As a condition of permission to participate, students assures he/she will use proper technique and fundamentals, maintain good physical conditioning, stay alert at all times, attend all training and practice sessions, follow instructions and obey the rules. No student will be allowed to participate in practices or performances until this form is signed and dated by both the student and parent(s)/guardian(s).


I do hereby acknowledge that we/I understand the above “Statement of Risks”. We/I realize that our/my child named above may suffer serious injury, including but not limited to, sprains, fractures, brain damage, paralysis or even death, by knowledge and understanding of the risk of serious injury to our/my child named above which may result, we/I give our consent to participate in the sport/activity of the BARLOW THEATRE CAMP. We/I release the Gresham-Barlow School District from any and all claims, suits, damages, losses and liabilities arising out of, directly or indirectly, or connected with my child’s participation in high school sports from any cause whatsoever.

Please check the payment box below below. Once you submit this form, you will be asked to pay the camp fee using a link to Paypal. *
A copy of your responses will be emailed to .
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This form was created inside of Gresham/Barlow School District.