Wellsboro Winter Camp Registration

Theatre Arts Camp Registration - Wellsboro Winter Camp

* Indicates required field

Camper Name *

First

Last

Age *

Height *

T-shirt Size *

Name of Parent/Guardian *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Email *

Mobile Phone Number *

Work Phone *

Home Phone *

Emergency Contact Name *

First

Last

Relationship to Applicant *

Emergency Telephone Number *

Physician's Name and Phone Number *

Allergies or Medical Concerns *

Please let us know if your child has any special needs. *

Camp takes place February 19-March 6 on the following selected dates from 3:40 - 5:30pm unless otherwise indicated, and includes public performances on March 7 and March 8 at 7:00pm.

Please indicate below if you are NOT available on any of the rehearsal or performance dates.

Terms of Agreement:

My child has permission to participate in the Theatre Arts Camp for Kids. They are in good physical condition and do not have any serious illnesses that would jeopardize themselves or others in the camp. By submitting this form, I agree not to hold Hamilton-Gibson Productions liable or responsible for any injuries or accidents, and agree to bear all responsibility. If my child does not follow the behavioral guidelines of the camp, I understand that they may be dismissed. I give HG Productions permission for photos and recordings of my child to be taken/recorded and used for marketing of the camp in printed materials and on social media.

Choose Any *

I agree to the terms.

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