THIS CAMP IS FULL Arts in Motion Teen Summer Camp Registration (rising 8th grade-College)
Auditions will be held Saturday, June12th from 9:00am-12:00pm Cold readings only. The students will receive scripts at auditions and will be expected to know their lines by Monday, June 28th!
Camp will be held June 28th-July 2nd, 2021 9:00am-5:00pm
Shows on Friday, July 2nd 6:00pm and Saturday July 3rd 2:00pm.

Monday through Thursday, camp takes place at 13921 7th Street, Dade City, FL 33525
Fridays rehearsal and shows at TBD

Cost for camp is $150 for 2021/2022 members and $175 for non-members and includes 2 daily snacks, a t-shirt and a pizza party on Friday. Before or after care is available for an additional fee. Students will need to bring a packed lunch Monday-Friday.

Please pay your registration fee through the paypal link on our website or you can mail a check to P.O. Box 762, Dade City, FL 33526-0762

Please contact Brandi Hutcheson with any questions at
Students name *
Students Phone number *
Students email *
Full Address *
Parents Name *
Parents phone number *
Parents email *
Emergency Contact and Phone *
Age at start of camp *
Grade Entering *
T-shirt size *
Allergies/special needs *
Current AIM Member? *
How did you hear about camp? *
Arts in Motion Community Youth Theater Arts Education, Inc.
2018 - 2019
Photo & Video Release

I hereby grant permission to the rights of my image, likeness and sound of my voice as recorded on audio or video tape without payment or any other consideration. I understand that my image may be edited, copied, exhibited, published or distributed and waive the right to inspect or approve the finished product wherein my likeness appears. Additionally, I waive any right to royalties or other compensation arising or related to the use of my image or recording. I also understand that this material may be used in diverse educational settings within an unrestricted geographic area.

Photographic, audio or video recordings may be used for, but is not limited to, the following purposes:

• promotional efforts
• educational presentations
• informational presentations
• on-line presentations and promotion
• educational videos

By signing this release I understand this permission signifies that photographic or video recordings of me may be electronically displayed via the Internet or in public for promotion.

I will be consulted about the use of the photographs or video recording for any purpose other than those listed above.

There is no time limit on the validity of this release nor is there any geographic limitation on where these materials may be distributed.

This release applies to photographic, audio or video recordings collected as part my participation in Arts in Motion in the 2018 -2019 season.

By signing this form I acknowledge that I have completely read and fully understand the above release and agree to be bound thereby. I hereby release any and all claims against any person or organization utilizing this material for educational purposes.
I agree to the photo/video release: (please type "I agree") *
Arts in Motion Community Youth Theater Arts Education, Inc.
2018 - 2019
Arts in Motion Release of Liability & Permission to Secure Treatment

I recognize and acknowledge that there are certain risks of physical injury to participants in Arts in Motion's program(s) and I agree to assume the full risk of any injuries, damages or loss regardless of severity which I or my minor child/ward may sustain as a result of participating in any and all activities connected with or associated with such program(s).

I agree to waive and relinquish all claims I or my minor child/ward may have against Arts in Motion (AIM) and its volunteers as a result of participation in the program.

I recognize that AIM is a non-profit, volunteer organization and serves children from grades Kindergarten through 12. As such, by virtue of our participation and membership in the organization, I agree to abide by the decisions made for the best interests of the organization and understand that while special requests may be made, they may not always be accommodated. Should a dispute or concern arise, I agree to bring it to the attention of the AIM Board first and attempt to work toward a mutual resolution. Should a mutual resolution not be reached, I hereby waive and relinquish any and all claims I or my minor child/ward may have against Arts in Motion and its volunteers and additionally agree that I will not publicly disparage the organization and/or its members, seek damages of any sort or file any suit or claim against Arts in Motion and/or its Board and/or its volunteers.

I do hereby fully release and discharge AIM and its volunteers from any and all claims from injury, damage or loss related to the activities of the program(s).

I further agree to indemnify and hold harmless and defend AIM and its volunteers from any and all claims resulting from injuries, damages, and losses sustained by me or my minor child arising out of, connected with, or in any way associated with the activities of the program(s).

In the event of any emergency, I authorize AIM to secure from any licensed hospital, physician and/or medical personnel any treatment deemed necessary for me or my minor child/ward's immediate care and agree that I will be responsible for payment of any and all medical services rendered.
I agree to the release of liability and give permission to secure treatment: (please type "I agree") *
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