Rose Children's Theatre & Oregon Children's Choir Collaboration - Elementary Folktales Camp Registration, 2019
RCT and OCC Collaboration Camp - Elementary Folktales Camp
August 5-9, 9:00 a.m. – 1:00 p.m.
First United Methodist Church, 1376 Olive St., Eugene
Ages 2nd-5th Grade
Artistic Team led by Wayne Strong
Tuition, $200 (sibling discounts and scholarships available)

Popular Oregon Children's Choir director and Rose Children's Theatre musical director Wayne Strong along with co-instructor and Rose Children's Theatre director, Pamela Lehan-Siegel, is back again this summer with a fun take on traditional folk tales, transforming them into mini musicals. Orff instruments, dances, acting, sets, props, backdrops, songs and narratives will be the focus in this creative camp for grades 2-5, culminating in a final performance for family and friends.

Please note that there are two questions related to ethnicity and race. This information is only used for demographics reporting purposes. RCT is working to apply for grants that can help us better serve our theater community. This information is often requested as part of the process. Responses in this section are optional.

Actor's First Name *
Your answer
Actor's Last Name *
Your answer
Actor's Grade in School (as of September 2019) *
Required
Actor's School (as of September 2019) *
Your answer
Actor's Preferred Gender Pronoun
If another gender pronoun is preferred, please specify.
Your answer
Ethnicity: Is the actor of Hispanic or Latino origin?
Actor's Race
Please Select *
How did you hear about Rose Children's Theatre?
Your answer
Primary Parent Name (First and Last) *
Your answer
Primary Parent Address *
Your answer
Primary Parent Email *
Your answer
Primary Parent Best Contact Number *
Your answer
Secondary Parent Name (First and Last)
Your answer
Secondary Parent Address (if different from Primary Parent)
Your answer
Secondary Parent Email
Your answer
Secondary Parent Best Contact Phone Number
Your answer
Emergency Contact - In addition to parents listed above. (First Last) *
Your answer
Emergency Contact Best Contact Phone Number *
Your answer
Request for scholarship. Please let us know if you would like to request tuition scholarship assistance. *
Request for sibling discount. Please let us know if you would like to request a tuition sibling discount. Please note - siblings must either be participating in the same camp or in a camp that occurs during the same week. *
PHOTOGRAPHY AND VIDEOGRAPHY RELEASE: I fully understand that by allowing my child to participate in a Rose Children’s Theatre production they will be included in photographs or videos that will be used for promotion of the production or for archival purposes. I also understand that my child might be in contact with the press prior to the performance or during the run of the production in which they are cast. Also it may be necessary for production staff to photograph or take video of participating youth for purposes other than promotion. The Rose Children’s Theatre staff will only use photography or videography of children in the production for its legitimate purposes, including, but not limited to website, public purchase (Stafford Video) and organizational/event promotion. BY SELECTING "AGREED AND ACCEPTED" I INDICATE THAT I HAVE READ, FULLY UNDERSTAND, AND AGREE TO THE INFORMATION ABOVE. *
CAST LIABILITY WAIVER: I declare that I am the parent or legal guardian of the below named child, and I have legal custody and control of the child. In consideration of the acceptance of my child’s registration, as a participant in this Rose Children’s Theatre production, I hereby agree to assume all risks attendant upon my child while participating. I further understand that during rehearsals and performances, my child may be running, jumping, dancing and performing varied other movements on stage and at times near movable set pieces. I assume all risks and hazards to such participation including transportation to and from rehearsals and performances as well as any property damage which may occur during the course of the production, and hereby waive, release, absolve and indemnify and agree to hold harmless, School District 4J, Wildish Community Theatre, Lane Community College, First United Methodist Church, The Very Little Theater and Rose Children’s Theatre, it’s organizers, sponsors, volunteers, staff, supervisors, and participants for any claim arising out of accidental injury to my child. I HAVE READ, FULLY UNDERSTAND, AND AGREE TO THE INFORMATION ABOVE. *
Tuition Refund Policy: Full tuition payment is required upon registration. $75.00 of tuition is immediately non-refundable. Full tuition is non-refundable 30 days prior to the first day of camp. BY SELECTING "AGREED AND ACCEPTED" I INDICATE THAT I HAVE READ, FULLY UNDERSTAND, AND AGREE TO THE INFORMATION ABOVE. *
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