2019 Summer @ Live Arts Speciality and Production Camps Registration and Permission Form
Your registration for a 2019 Summer @ Live Arts Speciality and/or Production Camp(s) is complete once you fill out this form and also submit payment. Please complete this form for each child you are registering. If you are registering the same child for multiple Specialty and Production camps, you need only fill this form out once.

*YOUR CHILD IS NOT OFFICIALLY REGISTERED FOR A LIVE ARTS CAMP UNLESS YOU HAVE ALSO PAID CAMP TUITION THROUGH OUR TICKETING SYSTEM.*
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Liability Release Form *
*My child has my permission to participate in the Live Arts Summer Camp. I understand that I am responsible for any damage to property or persons resulting from my child's actions. I understand that consumption or possession of alcohol or illegal drugs is not permitted. I give permission for Live Arts staff to call for emergency medical services in the event that I or the emergency contact person cannot be reached and before contacting me if the Live Arts personnel deem it appropriate. I hereby release and agree to indemnify and hold harmless Live Arts, its agents, employees, officers, and directors from any and all responsibilities and liability for injuries to my child (children) while he/she is enrolled in a Live Arts Camp.
Name of Child registered *
Age of child at time of camp *
What school does the child attend (if applicable)? *
My child will enter the following grade in the fall *
Please indicate which Summer Camp(s) you are registering for *
Check all that apply!
Required
Please indicate during which Camps (if any) you would like to enroll your child in the Extended Day program (9am to 5pm)? *
Name of Parent or Guardian *
Relationship to child *
Home # *
Work #
Cell # *
Email *
Second Parent/Guardian Name and Email (if this person would like to be notified of camp schedule/events/etc.)
Second Parent/Guardian Cell Phone
Emergency Authorization and Consent for Summer Camp *
I/We undersigned parents or legal guardians of the minor registered do hereby give authorization and consent for medical treatment in the event my child becomes ill or injured during a Live Arts summer camp. Live Arts Staff or volunteers are authorized to take one or more of the following actions: a) provide reasonable basic first aid; b) release my child to the person listed below; c) take my child to a physician or call the physician indicated; or, d) take my child to the hospital and/or give consent for emergency care.
Person in addition to parent or guardian to contact in emergency (and relationship to minor) *
Home # *
Work #
Cell # *
Doctor's Name *
Doctor's Office Address *
Doctor's Phone # *
Please indicate any significant health history of which Live Arts should be aware
Please list all allergies and/or medications *
Does your child have any special needs, (behavioral, medical, emotional, etc.), we should be aware of to help your child have a safe and positive camp experience? *
Required
If you answered yes to the above question, a Live Arts summer staff member will call prior to your camper's arrival to discuss how we can best help your camper to have a positive experience. Please indicate below that you understand and agree to be contacted.
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