Teatro De Artes De Juan Seguin 2020 Summer Agroecology and Arts Camp Registration Form

Hello parents- For your convenience, please use this form to register your child for our Annual Summer Agroecology and Arts Camp to be held June 8-12, 2020 9am-12 noon via Zoom meetings. You will be contacted before June 1, 2020 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 *
Your answer
Age *
Your answer
Sex *
Parent Name (1) *
Your answer
Parent Name 2 (if applicable) *
Your answer
Parent Phone Number *
Your answer
Parent Email Address *
Your answer
Physical Address *
Your answer
School of Student *
Your answer
Grade Level *
Your answer
What does your student want to be when they grow up? *
Your answer
What is your student's favorite subject? *
Your answer
What extra-curricular activities does your student participate in? *
Your answer
Please feel free to share any specific information about your student with our instructors that will help us better serve your student. *
Your answer
Does your family have a computer/ iPad/tablet/ and internet access to use the Zoom video program? *
Required
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 *
Your answer
Student- I have read the consent form which my parent has signed and request that I be permitted to attend. *
Required
Student- Please type your name as an electronic signature. *
Your answer
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