Old Academy Players Children’s Arts Program Application | Permission Form
Music, Movement and Acting for Kids Ages 8 - 13

July 17, 18, 19, 2018

Old Academy Player’s Children’s Arts Program introduces kids to the joys of theater with hands-on exploration and learning about acting, musical theater and dance. Three days of discovery and rehearsal are transformed into a “Showcase Performance” presented on the Old Academy main stage for thrilled parents, family and friends.
Check our website OldAcademyPlayers.org for more information on our summer 2018 program.

Program Cost: $100 for three-day program, from 8:30-8:45 drop off to 3:45-4:00 pick up each day, with a 7:00pm “Showcase Performance” for parents on Thursday (children are called back between 6:15 and 6:45pm). Children bring lunch first two days. Pizza is served on third day. Light, healthy snacks and beverages will be provided daily. Family Discount: $100 first child; $80 for each additional sibling.

Questions? Contact us at oldacademychildren@gmail.com. Please send your check made payable to the Old Academy Players to: Old Academy Players 3544 Indian Queen Lane, Philadelphia, PA 19129, ATTN: CAP -- be sure to indicate the name of the child (children) you're registering on your check.

Email address *
Name of Parent or Legal Guardian authorizing permission for child to attend program: *
Your answer
Name of Child: *
If more than one child will be attending, please list the oldest child here and the others below with their ages.
Your answer
How old will child be as of July 17? *
Required
Names of Additional Children:
Please list any siblings who will accompany the child listed above.
Your answer
How old will child(ren) be as of July 17?
Please indicate all
What (adult) size t-shirt will your child(ren) wear? *
If you are registering more than one child, please check multiple boxes.
Required
Child(ren)'s Street Address *
Your answer
Child(ren)'s City *
Your answer
Child(ren)'s State *
Your answer
Child(ren)'s Zip Code *
Your answer
Primary Phone: *
First call we'd make in case of a problem or question. Please indicate who might answer: [215-555-1212, Mary, grandmother].
Your answer
Primary Email Address: *
Where we will send CAP information and notification
Your answer
Secondary Phone:
Please indicate who might answer: [215-555-1212, Mary, grandmother].
Your answer
Secondary Email Address:
Your answer
Your Child’s Health & Allergies: *
Do we need to know anything about your child’s health? i.e., is your child taking any medications? Does your child have a medical condition that you would like to bring to our attention? Does your child have any food (or other) allergies? Please offer details so that we can make CAP as safe and fun as possible.
Your answer
Parent/Guardian Mailing Address (if different from child's above):
Your answer
Permission & Release *
Permission to Participate: This serves to grant my permission, as parent or legal guardian of the child whose name is set out above, for my child to participate in The Old Academy Players Children’s Arts Program (OAP CAP). For myself, my family and the child whose name is set out above, I release to the maximum extent permitted by law The Old Academy Players, Inc. and its Officers, Directors, Members and others involved in OAP CAP from any and all liability arising out of my child’s participation in the OAP CAP including, but not limited to, any personal injury or illness, or injury to property. Pictures will be taken during the program. I give Old Academy Players permission to include my child in these pictures and for them to be used by the Old Academy Players at their discretion.
Required
Pick Up *
I authorize the following person(s) other than myself to retrieve child from the premises of The Old Academy Players, Inc., OAP may require, however, that he/she/they present appropriate photographic identification in the form of a legal U.S. driver’s license or Passport at the time that my child is released into his/her/their custody. Please provide phone numbers and names below.
Your answer
Payment Options *
Your child (or children) is (or are) NOT enrolled in CAP until we have received payment. CAP costs $100 for the first child and $80 for subsequent children from the same family (at the same address). Payment is expected in full by Friday, July 13, 2018. Contact oldacademychildren@gmail.com if you have questions. Please select your payment method from the options below:
A copy of your responses will be emailed to the address you provided.
Submit
Never submit passwords through Google Forms.
reCAPTCHA
This content is neither created nor endorsed by Google. Report Abuse - Terms of Service