Starlight Performance Camp Application Form
Thank you for your interest in Starlight Performance Camp! Starlight is a free performance camp for boys and girls ages 5-14 with a chronic illness or disability who may feel restricted by their condition. Our goal is to introduce these kids to the world of performing arts, where through cheerleading, dance, and fashion they will get the chance to feel like the superstars that they are!

If your child has a sibling who would like to participate in the camp as well, they are welcome to! If you have more than one child participating, please fill out a separate form for each one. Parents, guardians, and support persons are welcome to attend to support your child if needed, or to cheer them on!

If you have any questions, please do not hesitate to contact us at starlightperformancecamp@gmail.com.

Date: July 23, 2022
Time: 9:00AM to 12:00PM
Location: Zoom
Requirements: Access to Zoom and stable wifi (for best experience), a hazard-free space large enough for a small dance/cheer routine (or willingness + creativity to adapt the routines to a smaller space - please be safe!), and a smile!

Application deadline: July 7, 2022 @ 11:59PM
We have a cap of 40 participants, and spots will be filled on a first-come-first-serve basis for all applicants who meet our eligibility requirements. Once your application is submitted, we will email you shortly to let you know if you've been accepted!
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Name of child (first and last) *
Age of child by July 23, 2022 *
Name of guardian (first and last) *
Email *
Please confirm email *
Mailing Address (we will mail a small package to each participant prior to the camp) *
Has your child participated in Starlight Performance Camp before?
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Please describe your child's illness or disability and how it affects their life. *
Does your child have any type of limitation that may be an obstacle in certain activities? *
If you answered YES to the previous question please explain. (We ask only to best accommodate your child.)
Does your child have any experience in any of the following: (Please note that no experience is necessary!) *
Required
If you checked any of the boxes in the previous question, please explain.
Does your child have allergies? If so, what kinds of allergies? *
Does your child have dietary restrictions? If so, what are they? *
T-shirt size *
I understand that once I submit this application, I will be emailed an Informed Consent form that I MUST fill out, sign, and email back to starlightperformancecamp@gmail.com. *
Required
I understand that once I submit this application, I will be emailed a Photo Release for Minors form that I may choose to sign or not to sign. I understand that if I sign it, I must email it back to starlightperformancecamp@gmail.com. I understand that if I do not sign it, my child will be asked to turn their video off for photo opportunities at certain times during the camp. *
Required
Any questions, comments, or concerns?
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