Teatro De Artes De Juan Seguin 2021 Summer Agriculture and Arts Camp Registration Form

Please fill out a registration form for each child who is interested in joining camp this year.
Hello parents- For your convenience, please use this form to register your child for our Annual Summer Agriculture and Arts Camp to be held June 14-17, 2021 9am-12 noon via Zoom meetings. Friday June 18th will be in person at Teatro's Cultural Arts Center 921 W. New Braunfels St. Seguin, TX 78155. You will be contacted before June 11, 2021 to confirm your student(s) registration. For detailed information about the camp please click on downloadable application on the front page of our website. www.teatrodeartes.org Thank you!
Student Name *
Age *
Sex *
Parent Name (1) *
Parent Name 2 (if applicable) *
Parent Phone Number *
Parent Email Address *
Physical Address *
School of Student *
Grade Level *
What does your student want to be when they grow up? *
What is your student's favorite subject? *
What extra-curricular activities does your student participate in? *
Please feel free to share any specific information about your student with our instructors that will help us better serve your student. *
Does your family have a computer/ iPad/tablet/ and internet access to use the Zoom video program? *
If yes, what device will your student be using to access the Zoom meetings? *
Media Release Permission- Do you, the parent/ guardian of the student named above give Teatro permission to use any image of your child that may be taken in the form of a photo/screen shot to be used for marketing and promotion purposes of Teatro? *
Parent- I hereby grant permission for my child to participate in the Summer Agroecology and Arts Camp classes to be hosted by Teatro De Artes De Juan Seguin. I have been informed concerning these classes. *
Parent- Please type your name as an electronic signature below *
Student- I have read the consent form which my parent has signed and request that I be permitted to attend. *
Student- Please type your name as an electronic signature. *
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