Artist's Laboratory Theatre Parental Consent Form
Thank you for registering your child(ren) for an Artist's Laboratory Theatre youth program! We have many options available and you will be able to select which programs you'd like to register for below. All of our programs are PAY-WHAT-YOU-CAN with suggested values. Descriptions are as follows:

SUMMER CAMP REGISTRATION IS NOW OPEN!

Artist's Lab's Summer Youth Devising Camp for ages 8 - 18 will be from July 23 - 27, 2018, Monday - Friday, 9 AM - 3 PM. The performance sharing for family and friends will be Friday, July 27 at 5:30 PM. Using ALT’s method of devised theatre, young artists will improve listening skills, develop confidence, increase cooperation, resolve conflict and encourage citizen engagement. ALT Founder and Artistic Director Erika Wilhite will co-create with young artists a short piece of theatre around a selected theme. The final piece will be shared with family and friends at the end of camp! Registration deadline is July 16.

It is highly encouraged that youth attend the majority of their selected camps. These PAY WHAT YOU CAN camps are valued at $200/week and space is LIMITED to 12 participants per camp. Once you have registered, Director of Outreach Simone Cottrell will contact you via email or phone to inquire how you would like to pay as well as sending you further information regarding the camp.

If you have already completed a parental consent form with The Artist's Lab this year, please contact simone@artlabtheatre.com to be registered for camp.

Please fill out the following information for your child to be used for the 2017 - 2018 Artist's Laboratory Theatre season:

Email address *
I am registering my child for the following:
Child's Name *
Your answer
Child's Age & Birthdate *
Your answer
Child's 2017-2018 Grade *
Your answer
Parent/Guardian Info: Names, Phone Number, Emails, Mailing Address *
Your answer
Emergency Contact Info: Name and Relation to Child, Phone Number, Email *
Your answer
Please name and briefly describe any allergies and/or special needs for your child. (Optional) *
Your answer
Please name and briefly describe any medications and how to administer for your child. (Optional) *
Your answer
Do you give consent to allow an ALT staff member or teaching artist to administer medicine? This includes children's medication on hand at the theatre. We will call first before we administer. *
POLICY WAIVERS. Please mark "yes" if you agree. : Our concern for your child extends to his/her/their welfare and for this reason Artist's Laboratory Theatre has the following policies: 1. ALT has neither the staff, facilities nor insurance to care for children when they are not in a camp program and can be responsible for students only during the hours for which they are registered. *
POLICY WAIVERS. Please mark "yes" if you agree. : 2. Students should be brought to class/camp no earlier than 10 minutes prior to the start time and picked up no later than 10 minutes following its completion time unless prior arrangements have been made for extended care. *
POLICY WAIVERS. Please mark "yes" if you agree. : 3. ALT provides a safe learning environment for young people. Children entering the theatre must be signed-in each day by a parent/guardian. At the end of each camp, class,or workshop, we require a parent/guardian or a designated adult to sign-out and pick up their child. *
POLICY WAIVERS. Please mark "yes" if you agree. : 4. You are giving permission for your child to participate in this ALT program. *
CHILDREN WITH SPECIAL NEEDS, INCLUDING BEHAVIORAL DISCIPLINARY ACTIONS. Please mark "yes" once you have read and understood. : The ALT staff and teaching artists are not trained in working with children who have special needs, though some of us may have experience in working with different and mixed communities. We strive to be a safe, brave, and inclusive environment, considering the needs of everyone, including our teaching staff. This does take open and frank conversations with parents/guardians regarding the needs of the child.Please know that we will do the best we can to include your child and meet them on their level.The parents/guardians of children who are disruptive or is discovered to be high-attention needs without preparing and meeting with the Director of Outreach at least a week before the program begins, regardless of whether they have a condition or not, may be asked to leave the program as Artist's Laboratory Theatre may not be the best environment for them at this time. *
Required
COPYRIGHT AGREEMENT: As a condition of participation, the parent grants to the Artist's Laboratory Theatre the right to photograph him/her for publication (this includes, but is not limited to, ALT brochures, postcards,website, blog, social media, and newsletters). Names may be published. By signing consent below, photographs, names,and a student’s age may be published in newspapers or by ALT's partner organizations (in print or online sources). *
RACIAL & ETHNICITY DEMOGRAPHICS. OPTIONAL.
Is your child on free or reduced lunch? OPTIONAL.
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