Summer Camp 2022 Registration
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Email *
Child's Name *
Parent's Name *
Child's Birthday *
MM
/
DD
/
YYYY
Child's Age
Address *
Cell Phone *
Work Phone *
Emergency Contact Information
Name and Relationship *
Cell phone *
Name and Relationship
Cell Phone
Health Information
Insurance Company and Policy Number *
Allergies *
Hospital Preference *
INDIVIDUALS OTHER THAN PARENT/GUARDIAN AUTHORIZATION

ONLY these individuals have my authorization to care for my child in the event of an emergency
and/or for drop-off and pick-up.
* Please advise these individuals that they are authorized and will need to present identification to staff.

Name - Relationship- Phone
Name - Relationship- Phone
WAIVER FOR PARTICIPANT
I, as parent or legal guardians of __________________________ approve and give my permission for him/her to participate in any class or program offered by the True Dreams Productions Summer Camp which is deemed age appropriate. By registering for youth programs through True Dreams Production, registrant acknowledges that the activities carried on in the program carry on certain risks for the participant. Registrant has independently reviewed and evaluated the risks and determined to engage in the program with full knowledge and acceptance of the risk. The registrants agree to and hereby releases and forever discharge True Dreams Productions 2022 Summer Camp, and their officers, employees, agents and volunteers from any and all liability for damages, loss or personal *
Required
Permission to use photo's, film and videos of your child for True Dreams Productions  promotions, marketing and educational purposes.
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AUTHORIZATION FOR EMERGENCY MEDICAL CARE
I hereby give my permission to True Dreams Productions 2022 Summer Camp staff to call a doctor or emergency medical service and for the doctor, hospital or medical service to provide emergency medical or surgical care for my child ______________________________________ should an emergency arise. It is understood that True Dreams Productions 2022 Summer Camp staff will make a conscientious effort to locate the parent/guardian or the emergency contact listed on the registration document before any action will be taken. If it is not possible to locate the emergency contact listed, I will accept the expense of emergency medical or surgical treatment. *
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Please submit $250.00 payment via Paypal
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