HTAC's On Camera With Adam Ratcliffe

Name
Prefix
First
Last
Suffix
Age
Address
Street Address
Address Line 2
City
State / Province / Region
Postal / Zip Code
Country
Email
Cell Phone Number

###
-
###
-
####
Payment *
 Visa 
 Mastercard 
 Discover 
Credit Card
By checking this box I authorize HTAC to charge my card *
 Agree 

In consideration of my child partaking in this camp, I so hereby discharge and release and forever hold harmless Haddonfield Theater Arts Center, LLC, their affiliates, employees and any facility at which events are held from any and all claims, actions, losses, damages, or expenses for personal or bodily injury (including death), and property lost or damage of whatever nature or cause, incurred by me (or my child) aries out of any conjunction with my (or my child's) participation in the aforementioned program. I hereby consent that I am of legal age and have read and understand the contents of this concent and release.
Checkbox
 I agree 

Haddonfield Theater Arts Center requires a Credit Card to be on file for all students. Payment for camp is due on the campers first day of camp.

By submitting this form I hereby state that:

1) I understand the payment policy of H.T.A.C.

2) I release all members of the Haddonfield Theater Arts Center staff and any other party involved in the organization and administration of Haddonfield Theater Arts Center from any liability as a result of any injury sustained in or around Haddonfield Theater Arts Center venue.
Single Line Text
Image Verification
captcha
Please enter the text from the image:
[Refresh Image] [What's This?]