GVT Drama Summer Camp Registration Form
Thank you for your interest in GVT's 2019 Drama Summer Camp! Camp will take place from Monday, July 22 - Sunday, August 4. Students must attend both weeks. There will be two (2) mandatory rehearsals on the weekend: one on Saturday, August 3 from 10 a.m. - 1 p.m. as well one on Sunday, August 4 from 1:30 - 3:30 p.m. The showcase will take place on Sunday, August 4 from 3 - 4:30 p.m.

The registration deadline for Summer Camp is Friday, July 12, 2019 at 5 p.m. Please contact our Education Offices at kiersten@gvtheatre.org or 304-645-3838 ext. 111 with any questions or concerns.

Payment for camp can be submitted by calling the Box Office at 304-645-3838 ext. 114 to pay with a card or by bringing in cash or check. Campers ages 5-8 attend for half-days from 9:30 AM to 12:30 PM at a cost of $285 for both weeks.
Older campers ages 9-14 spend whole days, 9:30 AM to 3:30 PM, at the theatre for $385.

Student Information
Camper Name *
Your answer
Preferred Name *
Your answer
Age of Student on July 22, 2019 (First Day of Camp) *
Your answer
Grade Student Will Be Entering Fall of 2019 *
Birth Date *
MM
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DD
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YYYY
Mailing Address *
Your answer
City *
Your answer
State *
Zip Code *
Your answer
Student's Email
Your answer
Student's School in Fall 2019 *
If you chose "Other" for your school, please list the school below
Your answer
T-shirt Size *
Student #2 Information
If you are registering more than one child for Summer Camp, please fill out this section. If you are only registering one child, please skip to the next section (Guardian/Parent Contact Information). You can only register two (2) children using this form. If you would like to register more, please contact the Education Office at 304-645-3838.
Name of Student
Your answer
Preferred Name
Your answer
Age of Student on July 22, 2019 (First Day of Camp)
Your answer
Grade Student Will Be Entering Fall of 2019
Birth Date
MM
/
DD
/
YYYY
Mailing Address
Your answer
City
Your answer
State
Zip Code
Your answer
Student's Email
Your answer
Student's School in Fall 2019
If you chose "Other" for your school, please list the school below
Your answer
T-shirt Size
Guardian/Parent Contact Information
Communication will be primarily by email. Please make sure to enter a valid email address you check daily.
Name of Guardian/Parent *
Your answer
Guardian/Parent Cell Phone Number *
Your answer
Home Phone Number
Your answer
Mother's Work Number
Your answer
Father's Work Number
Your answer
Parent Email *
Your answer
Emergency Contact Information
Please list at least one Emergency Contact for your child or children) that is not a parent.
Emergency Contact #1 Name *
Your answer
Emergency Contact #1 Phone Number *
Your answer
Emergency Contact #1 Relationship to Student *
Your answer
Emergency Contact #2 Name
Your answer
Emergency Contact #2 Phone Number
Your answer
Emergency Contact #2 Relationship to Student
Your answer
List any allergies, medical conditions, physical problems or limitations, or any medication your child uses
Your answer
Is there anything else you would like the staff to know about your child?
Your answer
Authorized Pickups
Please list below people who are authorized to pick up your child. If this information changes, please send an email to GVT Staff to release your child to the newly authorized person.
Authorized Person #1 Name *
Your answer
Authorized Person #1 relationship to student *
Your answer
Authorized Person #2 Name
Your answer
Authorized Person #2 relationship to student
Your answer
Authorized Person #3 Name
Your answer
Authorized Person #3 relationship to student
Your answer
Unauthorized Pickups
If necessary, please list who is not authorized to pick up your child below.
Name
Your answer
Relationship to Student
Your answer
Tuition Payment
Campers ages 5-8 attend for half-days from 9:30 AM to 12:30 PM at a cost of $285 for both weeks.
Older campers ages 9-14 spend whole days, 9:30 AM to 3:30 PM, at the theatre for $385. Need-based scholarships are available. Please email kiersten@gvtheatre.org to receive a scholarship application.
How will you be paying for your child's summer camp tuition? *
My child is permitted to appear in publicity photographs and speak with local reporters covering GVT's After-School Program in their community media coverage. *
I verify that all information provided above is correct. I understand that GVT Youth Education's primary form of communication is email and have provided accurate contact information. (Please type your full name as a form of electronic signature.) *
Your answer
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