Aurora Arts Theatre presents

Young Actor’s Summer Camp

2017 Camp Application

Ages 7 to 15

Hours:

Sessions run Monday through Friday from 9am to 3:30pm

Drop off at 8:30am

Sessions

Please select camp session(s) to be attended:

Session 1 ­ “BROADWAY BOUND! ­ Musical”

June 5th – June 16th, 2017 ­ PERFORMANCE - Friday June 16th, 2017

2 weeks ­ $300 per person

Session 2 ­ “TAKE THE STAGE! ­ Non- Musical”

June 26th – July 7th , 2017 ­ PERFORMANC - Friday July 7th, 2017

2 weeks ­ $300 per person

Session 3 ­ “BROADWAY BOUND! ­ Musical”

July 31st – August 11th, 2017 ­ PERFORMANCE - Friday August 11th, 2017

2 weeks ­ $300 per person

A non­refundable deposit of $100 secures your spot. Balance paid in full a week before each session begins.

Multiple Session Discounts Available

Agreement

I understand that my child will participate in all daily camp activities and performances. I will avoid scheduling non­emergency appointments during camp days and I will not request early release or late arrival dates for my

child during theater camp. My signature below confirms that I agree to comply with these policies. We are requesting this in order to offer the best possible camp experience.

Parent/Guardian Signature:

Camper’s First Name: Last Name:

Gender: M F Age at start of camp: Date of Birth: / /

Personal Information

Please print neatly.

Parent(s) or guardian(s) name(s):


Mailing address:

Home phone number: ( ) ­ Parent’s cell phone: ( ) ­ Emergency contact’s name:


City/Zip:

Parent’s work phone: ( ) ­ Contact E­mail:

Phone number: ( ) ­

Names & phone numbers of persons (other than parents/guardians and emergency contact) authorized to pick my child up from camp:

** If you do not list anyone below, parents/guardians listed above will be the ONLY people authorized for pick up**

Name: Phone: ( ) ­

Name: Phone: ( ) ­

Each child attending the camp will receive a camp backpack and supplies for notes.

Each child is responsible for bringing their own snacks and lunch.

Bottled water will be provided.