CAST Spring Break Camp Registration 2017
This form collects the information regarding your child's registration for TITG's CAST Registration. After filling out the form you must proceed to the ticketing site (link given at the end) to pay for the camp. If the link to payment does not open for you, you can find the link to our ticketing site at www.theatreinthegrove.org
Your name
Your answer
email address
Your answer
Which Camp are you enrolling your child in
Child's First Name
Your answer
Child's Last Name
Your answer
School Grade (Enter Grade number e.g. "4" )
Your answer
Child's Age
Your answer
Parent(s) Name
Your answer
Mailing Address
Your answer
Contact Phone #
best number to reach you during camp hours
Your answer
Alternate phone #
Your answer
EMERGENCY INFORMATION AND RELEASE
Emergency Contact(s)
Name AND Phone number of at least one person other than above who can be reached in an emergency
Your answer
My child may be picked up from camp by
(other than parent listed)
Your answer
My child is authorized to transport themselves to and from camp
If YES, your child will be self-released. If NO your child may only be released to a pre-authorized individual.
I, (as signed on the registration form) for myself and/or as parent/guardian of the named registered child, do hereby authorize Theatre In The Grove to consent to emergency medical or dental examination, treatments, etc., to be administered to the same in the event of accident or sudden illness during Theatre In The Grove programs. I hereby release and discharge Theatre In The Grove, it's volunteers, officers, and agents from any and all claims for personal injuries. I also agree that pictures taken during program hours may be used for future promotional purposes. Theatre In The Grove does not provide any medical insurance for any participant in any program.
Required
Please type full name
This constitutes an electronic signature
Your answer
Relationship to the child
Your answer
Please submit the form. On the confirmation pop-up there will be a link to the payment at our ticketing system.
Submit
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