Galaxie 'Vaudeville' Day Camp
We are so excited that you are interested in joining us for our Galaxie 'Vaudeville' Day Camp!
Please complete the attached registration form.

Event Address: 4437 N Ravenswood Ave, Chicago, IL 60640
Contact us at (312)479-1390 or ravenswoodloft@gmail.com
Email address *
Guardian(s) / Parent(s) Name(s) *
Your answer
Phone Number *
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Registration for weeks: *
Required
Child's Name *
Your answer
Child's Age *
Your answer
Additional Child's Name
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Additional Child's Age
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Additional Child's Name
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Additional Child's Age
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Preferred Drop Off Time (between 8am-9am) *
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Preferred Pick Up Time (between 4pm-5pm) *
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I understand that I must adhere to pick up and drop off guidelines, and that late pick-ups will result in an additional fee. *
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Do any of the children have any allergies or medical conditions to note? (please specify) *
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Emergency Contact (Name + Phone) *
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I understand that video featuring camp activities may be posted/shared on social media and website for promotional purposes only *
I understand that my registration is not complete without payment. Payment link will appear upon completion of the registration form. *
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I understand my camp fee is non refundable. *
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I understand my camp fee is transferable through Monday June 29, 2020 (new registrant must complete a registration form) *
Required
I understand that my child/children will be participating in physical activity such as yoga, tumbling, active play at the park, dance other physical activities and take full responsibility for ensuring that they are prepared to do so. *
Required
I indemnify Ravenswood Loft, Galaxie Chicago LLC and all related subsidiaries for any liability related to my child/children's participation in activities associated with participating in 'Vaudeville Day Camp'. *
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How did you hear about this event? *
Comments/Questions
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What is a particular area of interest for your child/children?
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A copy of your responses will be emailed to the address you provided.
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