2020 Imaginorium Winter Wizards Academy Registration
This is the registration for the Imaginorium Winter Wizards Academy, which will be held February 17-21, 2019 at 111 Greenwich Ave in Warwick, Rhode Island. This program is for students ages 4-14. High school students may choose to apply as junior staff members or may attend as students.
Email address *
Registration option? *
Required
Student's First Name *
This should be the name they primarily use day to day. It will go on the front of their nametag.
Your answer
Student's Last Name *
Your answer
Legal Name if different
Some kids have a different legal name from the name they use every day. Most don't. If not, leave this blank.
Your answer
Character Name
Does your child already have an Imaginorium character name? It will go on the back of their nametag.
Your answer
Pronouns they use *
Student's Age *
(at the time of camp)
School Grade *
(or equivalent if home schooled)
What school do they attend?
This is optional, but it helps us know which of our students might already know each other.
Your answer
Is your child a returning Imaginorium Academy Student? If so, which program(s) did they attend in the past? *
Your answer
Wizarding Academy House *
Students are only sorted once and then stay in the same house unless there is a strong reason to change houses. If your student has already been sorted, please mark which house they are already in (or write in other if you think they need to change for some reason and why). If your child is new, please mark which house or houses you think they would be most interested in. Keep in mind they may not get their first choice, and if they have friends they would like to be in the same house with, that will affect their house sorting.
Captionless Image
Required
Does your child want to be in the same house or class as any other camper (siblings, friends)?
We will do our best, but we cannot guarantee this.
Your answer
Would you describe your child as more *
Active
Attentive
Theatre Interests: *
Required
Parent(s) Name(s) *
Your answer
Parent E-mail address *
(required for confirmation and/or clarification of registration and other pre-camp information)
Your answer
Student E-mail address
(for camp information only)
Your answer
Mailing Address *
Your answer
City, State *
Your answer
Zip Code *
Your answer
Will the student be staying with someone else (grandparents, etc.) during camp? If so, list their names and contact information.
Your answer
Daytime Phone *
Where a parent or guardian can be reached in case of emergency
Your answer
Dismissal Options *
Pick-up
People who may pick up your child. License required for ID. Are there any custody issues we need to know about or any people who should NOT be allowed to pick up your child?
Your answer
Before/After *
We will have supervised Harry Potter-based activities for kids whose parents need extra time before and after camp. Before and/or Aftercare cost $50 each for the weeks ($100 total for both). 10% discounts apply. Children of staff members are always welcome at before and aftercare while a staff member is working at the camp.
Required
FOOD ALLERGIES! *
Students bring their own lunch, but we eat camp snacks and sometimes have food-related projects in classes. It is very important for us to know specifics about food allergies and the severity of those allergies (For example, if a child is allergic to nuts, can they be in the same room with other kids eating peanut butter?). We may not be able to accommodate severe dietary needs and will ask for parents' help in providing appropriate snacks.
Your answer
Does your child have any other behavioral or health challenges? *
We seek to accommodate for all children's needs. Sensitivity to insect bites or summer heat, ADHD or ADD, autism or aspergers, etc. We can only meet your child's needs if we know what they are. Please explain what strategies may be most helpful for the staff who will be working with your child. If you believe your child may need one-to-one staff attention, please let us know.
Your answer
Insurance Provider *
In case of a medical emergency, we will attempt to contact you immediately, but if it is a true emergency we will transport your child to the nearest emergency facility.
Your answer
Discounts
Do you qualify for one of the following discounts?
How did you hear about our program? *
Your answer
Photo and Video Release *
(Initial) You may use photos and videos of my child on the web and in print to promote the Imaginorium Educational Collective. (We take care in how we share photos, especially of minors. It is VERY difficult to exclude children from photos, though it can be done if absolutely necessary. Your child will be kept out of group photos, etc. Talk to the Headmistress if you have concerns about how photos and videos are used.)
Your answer
Program Philosophy *
(Initial) I understand that the Imaginorium Educational Collective accepts and teaches diversity of race, religion, class, sexual orientation and gender identity and give permission for my child to attend this program.
Your answer
Permission *
By typing my name as an electronic signature, I represent that I am the Parent/Guardian of the child named in this registration. I grant permission for my child to participate in Theatrical Wizardry Academy, July 22-Aug 2, 2019 from 9 am - 3 pm. I agree and hereby do release and hold harmless all adult supervisors, from and for any and all liability which may arise for damages, loss or injuries, either to person or property, which my son/daughter may sustain while engaged in the activity conducted. I further agree to assume responsibility for any liability which may arise for damages, loss or injuries which may be caused by my son/daughter to the person or property of others. Should any injury occur, I grant permission for my son/daughter to receive treatment from an appropriate health care provider when the need for such treatment is immediate and when efforts to contact me (us) are unsuccessful. I also agree to pay and be responsible for all medical, hospital or other expenses which the Imaginorium or any/all supervisors may incur as a result of securing treatment.
Your answer
A copy of your responses will be emailed to the address you provided.
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