Singing in the Rain - Perth: March 2-May 29, 2018
Student Name: *
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Gender Identity: *
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Preferred Pronoun (e.g. he, she, other): *
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Date of Birth: *
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Age at time of workshop: *
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Mailing Address: *
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Name of first parent or guardian: *
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First parent or guardian contact number(s): *
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First parent or guardian email: *
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Name of second parent or guardian:
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Second parent or guardian contact number(s):
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Second parent or guardian email:
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Emergency contact name: *
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Emergency contact phone number: *
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Please indicate which number we should call first in case of emergency: *
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Names of all adults who are permitted to pick up the child at the end of the workshop (unless the name of the adult is on this list, or we are informed of another name in writing, we will not release your child):
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Does the student have any food, medicine, or other allergies? If so, please clearly describe: *
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Does the student have any medical conditions that we should be aware of? If so, please clearly describe: *
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Does the student carry an epipen?: *
Does the student require any medication or medical treatment while at the workshop? If so, please clearly describe: *
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Is there anything else you would like us to know? *
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Waiver:
I permit my child to attend the day camp operated by the Academy for Musical Theatre, and provide permission for my child to participate in the full range of camp activities. I authorize the Director (Heidi Stepanek), or other designates, in the event of accident or illness affecting my child, to approve all procedures and related expenses, including admission to the hospital, surgery, anaesthesia, injections, or any other necessary treatment therein as deemed essential for the care and well-being of my child. Such action will only be taken when immediate contact cannot be made. I agree that, having taken such precautions as in your discretion are deemed advisable, the Academy for Musical Theatre shall not be held responsible for any accident or sickness affecting my child, or for any loss or damage to personal property. I understand that, should my child, in the judgement of the Director, become a hazard to him/herself or to other children or staff members in the camp, he or she may be sent home from the program without refund. I understand that should my child wilfully destroy property at the camp, I will be financially responsible for any damage incurred, and my child will be sent home from the program without refund. I understand that the Academy has ZERO tolerance for bullying of any kind. Such behavior can result in the automatic cancellation of a registration with no refund of workshop fees. I agree to inform the Director of any infectious diseases that my child may have been exposed to during the three weeks prior to camp. To the best of my knowledge, I have provided all necessary information about my child in order for the Director and her staff to ensure the safety of my child, and other children, while at camp.
I understand that pictures/video taken at camp may be used for promotional purposes by The Academy for Musical Theatre.
I agree to the above waiver *
Payment Policy
All workshop fees are payable in full at the time of registration. I understand that I may request, in writing, a refund of my child’s workshop fees, less an administrative fee ($100 for one-week summer workshops, $150 for after-school workshops, and $200 for two-week summer workshops) up to one calendar month prior to the first day of the workshop. After this date, due to the specialized nature of the programs and the financial preparation involved in my child’s participation, there are no refunds available for any reason.
I agree to the above payment policy: *
Student Self Sign-Out
I hereby give permission for my child to leave the workshop at the end of the day on their own, without an adult to pick them up and sign them out. I take full responsibility for anything that may happen to my child once they have left the Academy workshop space.
My child can leave the workshop at the end of the day on their own: *
Completing registration:
There are two steps remaining to complete your child's registration. Please be sure to do both in order to save your spot in Singin' in The Rain:

1. First, go to PayPal and make your payment: https://www.paypal.com/cgi-bin/webscr?cmd=_s-xclick&hosted_button_id=2B87B2MJ3STKQ

2. Then, click the "Submit" button at the bottom of this form.

Please note that registration is not complete until payment is received.
Thank you for joining us in our 20th year!!!
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