Storybook Theatre- 1 Week Camp 2020

Please complete the information below in order to save time on the first day of camp. We have some forms that we need completed before your student joins us for camp- now you can do it online before the first day of camp. The only item we will need you to complete in person is a Student Info Card which will only take 3-5 minutes to complete.

MAKE SURE YOU SIGN THE WAIVER THAT IS ON THE CONFIRMATION PAGE AFTER REGISTRATION.

Here is a Camp Info Sheet which will answer most questions and has A LOT of important info to read. Please download and read or pick up a hard copy at camp.

Summer Camp Info Sheet Storybook Camp.pdf

Thank you for your time. We look forward to working with you and your student.

Materials Fee

Standard Day ($165.00)
Campers attend 9am to 4pm.
Extended Day ($185.00)
Campers attend 8am to 5:30pm

Processing Fee

$1.00

Student Name

Gender

Male
Female

Date of Birth

School

Parent/Guardian #1 Contact Name

Parent/Guardian #1 Contact Phone Number

Best Contact

Parent/Guardian #2 Contact Name

Parent/Guardian #2 Contact Phone Number

Best Contact

Primary Email- Checked Most Often

Secondary Email- (2 households, etc)

Address

Emergency Contact Name

Emergency Contact Relationship

Emergency Contact Phone Number

Authorized Pick Up Name

Relationship

Authorized Pick Up Name

Relationship

Authorized Pick Up Name

Relationship

SPECIAL SITUATIONS/FOOD ALLERGIES/CHALLENGES WE SHOULD BE AWARE OF:

PLEASE LIST ANY CONFLICTS WITH REHEARSALS, TECH WEEK AND SHOWS:

SHIRT SIZE

PANT SIZE

SHOE SIZE

Running Total

$1.00

Refund Policy*

I understand that any fees paid are non-refundable after the first rehearsal/day of camp. Prior to the first rehearsal, a withdraw form must be completed and emailed to the office PRIOR to the first day if requesting a partial refund. (Refund would be 1/2 of the registration fee minus a 10% admin fee,) Once registration is confirmed, my place is held and fees cannot be refunded unless I purchase the protection offered below.

Purchase ProtectionRECOMMENDED

Add Purchase Protection for a small fee and get a 100% refund of your registration purchase should you be prevented from attending due to a qualifying unforeseen circumstance. (Full Terms)

Why protect your registration purchase? Purchase Protection covers:

Severe Illness and Injury

COVID-19

Hospitalization

Death in Family

Transportation Failure

Crime and Home Emergency

Employment Obligations

Acts of Nature

Legal Obligations

Purchase Protection covers many common unforeseen circumances, but exclusions apply. View full List of qualifying circumstances and exclusions.

Yes, protect my event registration purchase (Recommended) $1.00

No thanks, I am willing to risk losing $1.00. I understand I cannot add this later.

* Terms, conditions and exclusions apply. Not available for or applicable to events, attendees, or travel outside of the USA. Purchase Protection is a service offered by Purchase Protection LLC. Purchase Protection is not an insurance policy. It is a service that will refund you 100% of your event fees, taxes and dues should you be prevented by unforeseen circumstances from attending the event. Purchase Protection does not apply to, and will not reimburse, merchandise purchases and charitable donations. Purchase Protection fees will be charged as a separate transaction. Any changes made to your purchase will not change the amount covered in this agreement.

Read Full Terms and Conditions

Total

$1.00

REMIND APP/TELEGRAM*

We use an app to communicate with parents. Please sign up so you can receive all updates.

We use Telegram to also send updates, but you can also ask questions, respond to messages, etc.

TELEGRAM

Here is the link to join the Telegram group- https://t.me/joinchat/HJ6xKRh_3-BqcPdvLSjJdA

By clicking the box, you are acknowledging that you have added yourself to the Telegram app group. Failure to do so results in lost communication which can be prevented... if you just do it now.... We do not manually add parents to the app.

QUICK REMINDERS ABOUT CAMP*

I have read the following and understand my responsibilities

1. Campers must be signed in/out daily. When picking up, parents, authorized pick up persons MUST SHOW A VALID ID to sign out a student.

2. ITEMS TO TURN IN ON THE FIRST DAY- Student Info Contact Card!

3. Students signed up for Extended Day and Standard Day need to bring a lunch daily. (Snacks & bottled water also suggested)

4. CELL PHONES- Students must check in cell phones on arrival. Students may only use cell phones during Lunch. Students may not film any other student and post any pics/videos from camp on social media. Students are welcome to take pictures/videos once in their parent's care. No use of cell phones is allowed backstage by students AND parents. Students will pick up cell phones at the end of the day before dismissal.

5. NO GUM, SODA, FLIP FLOPS/SANDALS,

6. Students need to bring 3 ring binder and pencil daily. Students will not be able to take scripts home until binder is brought in.

FINANCIAL ASSISTANCE

Please send information on financial aid.
Starbound Theatre offers payment plans, fundraising and scholarship options.

Terms

By clicking the box below I do hereby agree to participate and/or allow Participant(s) to participate in the program listed above. I am aware that participation in the Starbound theatre program involves an element of risk and danger of accidents. I am participating and/or allowing Participant(s) to participate in this activity with knowledge of the danger involved. I accept and assume all risks of injury, death, and property damage. I agree to release, waive, discharge and convenant not to sue Starbound Theatre, Rodgers Enterprises, David Rodgers Jr, Bliss Urban Arts Center, its officers, agents, volunteers or employees, and any associated agents, staff and volunteers from all actions, claims, demands or liability for any bodily injury, death or property damage arising out of or in any way connected with my and/or Participant(s) participation in this activity, including any provided transportation services. I also grant full permission to Starbound Theatre, Rodgers Enterprises, David Rodgers Jr to use my and/or Participant(s) name and/or photograph, videotape, motion picture or recording for any publicity or promotion purposes without obligation, compensation or liability.

BY CHECKING THE BOX, I UNDERSTAND THIS RELEASE AND WAIVER OF LIABILITY, I AGREE AND ACKNOWLEDGE THAT I HAVE READ AND UNDERSTAND THE INFORMATION. I UNDERSTAND I AM VOLUNTARILY GIVING UP LEGAL RIGHTS AND THAT THIS IS A LEGAL, BINDING AND ENFORCEABLE CONTRACT. I UNDERSTAND THERE ARE NO REFUNDS ON MATERIALS FEES. I UNDERSTAND THERE ARE NO REFUNDS ON REGISTRATION FEES AFTER THE FIRST CLASS. I AM FULLY AWARE OF MY RESPONSIBILITY TO PARTICIPATE IN FUNDRAISERS AND THAT I AM LIABLE FOR ANY MATERIAL GOODS USED FOR FUNDRAISING PURPOSES.

I have read and agree to the terms above.

Billing Information

Name

Payment Method

Credit Card
Cash/Check/Voucher

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Credit Card

Visa
Mastercard
American Express
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