PLEASE PRINT CLEARLY

REGISTRATION INFORMATION

DATE TIME FEE

Jul 6-10Jul 27-Jul 31

9am-3:30pm9am-3:30pm

CAMPS FOR KIDS - SUMMER 2020

STUDENT FIRST NAME, LAST NAME

ENTERING GRADE DATE OF BIRTH

LEGAL GUARDIAN(S) FIRST NAME, LAST NAME

MAILING ADDRESS (NUMBER, STREET NAME, CITY, PROVINCE, POSTAL CODE)

EMAIL ADDRESS

HOME PHONE BUSINESS CELL

INFORMATION THE DRAMA SCHOOL SHOULD BE AWARE OF (MEDICAL OR OTHER)

DRAMA AND PLAYEntering Grade 1

SESSION

$365 5-day session$365 5-day session

Presentations will be held on the Friday afternoon at 2:30pm for Gr. 1 camps.

TIME FEE

Jun 29- Jul 10* Jul 13-24 Jul 27-Aug 7* Aug 10-21

9am-3:30pm9am-3:30pm9am-3:30pm9am-3:30pm

$620$670$620$670

PLAY MAKERSEntering (choose one)

DATE

Grades 2-3 Grades 4-5 Grades 6-7 SESSION

9-day session10-day session9-day session

10-day session

Young People’s Theatre (165 Front Street East)

Presentations will be held on the final Friday at 6pm for Gr. 2-7 camps. *Please note: There is no camp on July 1st or August 3rd

ADDITIONAL CAMPER SERVICESSpecial offer: Sign up for both Early Drop-off & After-Camp Fun for the special price of $50 per week.

Early Drop-Off - Offered from 8am to 9am for all Grades.Fill in as appropriate — $5 per day or $20 per week.

Week 1Week 2

M T W T F

Week 1Week 2

M T W T F

FULL WEEK

FULL WEEK

After-Camp Fun - Offered from 3:30pm to 5:30pm for all Grades. Fill in as appropriate — $12 per day or $40 per week.

REGISTER

165 FRONT STREET EAST,TORONTO, M5A 3Z4

416.363.5136

BY MAIL ORIN PERSON:

BY FAX:

ONLINE: YOUNGPEOPLESTHEATRE.ORG

BY EMAIL:DSASSISTANT

@YOUNGPEOPLESTHEATRE.ORG

THE PARTICIPANT RELEASE FORM

THE EMERGENCY CONTACT AND PICK-UP FORM

Charitable tax receipts issued for donations of $20 or more. For additional information please contact Kristina Majnarich,Development Coordinator, at 416.363.5131 x248 or kmajnarich@youngpeoplestheatre.org.

Help Send a Child to Drama School

Cheque (please make payable to Young People’s Theatre)

Full name of payer (for tax credit)

Debit (in person only)

Cash (in person only)AMEXMastercardVisa

Expiry DateCredit Card No.

Signature Date

METHOD OF PAYMENT

Donate Today! $2 $5 $10 $25 Other_______

PLEASE NOTE YOUR REGISTRATION IS NOT COMPLETE WITHOUT:

Summer Drama Camp 2020 (Entering Gr. 1-7) Emergency Contact and Pick-Up Information

Name of student:

Dates of camp session: Entering Grade: Date of Birth:

Name of sibling:

Dates of camp session: Entering Grade: Date of Birth:

EMERGENCY CONTACT INFORMATION Permission to pick up student(s):

Primary Emergency contact: Relationship to student(s): YES

Telephone: Telephone (other): NO

Secondary Emergency contact: Relationship to student(s): YES

Telephone: Telephone (other): NO

The following alternate person(s) has my permission to pick up my child/children from Young People’s Theatre when I am unable to do so. Photo ID will be requested.

Name: Relationship to student(s): Telephone:

Name: Relationship to student(s): Telephone:

Name: Relationship to student(s): Telephone:

Please contact the Drama School at 416.363.5131 x235 if you have any further instructions.

___________________ ______________________________ Date Signature of Parent or Guardian

Please fill out the information below and return this form to the YPT Box Office via fax 416.363.5136, mail, or in person. Alternatively, please email this form to: dsassistant@youngpeoplestheatre.org

Participant’s Release Form

THIS RELEASE FORM MUST BE SIGNED AND SUBMITTED TO THE DRAMA SCHOOL BEFORE THIS REGISTRATION CAN BE PROCESSED AND CONFIRMED.

I am the parent or legal guardian of: __________________________________________ (the “Student”), who is under 18 years of age, and desire that the Student participate in the full school programs and activities (the “Activities”) of the Drama School of Young People’s Theatre (the “Theatre”). I acknowledge that I must advise the Theatre in writing if the Student is not physically fit to participate fully in the Activities. I also acknowledge that there are risks in participating in the Activities. I agree that, having taken such precautions as in its discretion are deemed advisable, the Theatre will not be held responsible for any injury, sickness or accident to the Student or for any loss or damage to personal property resulting from the Student participating in the Activities. I authorize the Theatre to secure medical care for the Student. If for any reason the Student requires medical attention beyond any first aid furnished by or on behalf of the Theatre, I agree to be responsible for any expenses incurred. I agree to indemnify the Theatre, its officers, directors, agents and employees and save them harmless from and with respect to all suits, actions and prosecutions by reason of any Activity carried out by the Student, whether on or off the Theatre’s property.

PHOTO RELEASE

I consent to the use of the likeness (including still photographs and video) of the Student in connection with the Drama School of the Theatre and related institutional promotional purposes throughout the world and without any compensation. I expressly release the Theatre, its officers, directors, agents, employees, licensees and assigns from and against any and all claims for invasion of privacy, defamation, infringement of copyright or any other cause of action that may arise out of such use.

□ I do not consent to the photo release statement above.

I hereby irrevocably release the Theatre from any and all claims for libel and invasion of privacy in connection with the foregoing.

I, the undersigned, have read the above and agree to its terms:

___________________________________________________________________________ PRINTED NAME OF PARENT OR LEGAL GUARDIAN (IF STUDENT IS UNDER 18 YEARS OF AGE)

______________________________________________ _______________________________________ SIGNATURE DATE

Please review our Privacy Policy at http://www.youngpeoplestheatre.ca/privacy-policy/ Schedules and programming subject to change.

* This information is for the purpose of serving your child to the very best of our ability. Failure to disclose this information at the time of

registration may result in the student not being allowed to continue in the program.