EmailMe Form - Musical Youth Summer Theatre (2022)

Musical Youth Summer Theatre (2022)

Complete a separate registration for each child/youth

Rehearsal Dates:
July 4-22, 2022
Monday–Friday 9:00 am to 3:00 pm
The Nexus at First United Church
5th Street SE at Okanagan Ave

Performances:
Saturday July 23 at 2:00 and 7:00 pm
Shuswap Theatre
41 Hudson Ave NW

Cost:
$625

Registration is not final until payment has been received and you have received confirmation by email from the instructors.

If the event ( or your child's section) is already full, payment will be disabled, you will receive notice from the leaders and your child will be waitlisted. If you have already paid and a spot does not become available, you will receive a full refund.

Name of Participant *
First Last
Date of Birth *
MM / DD / YYYY
Age Category *
Junior (ages 8–12)
Senior (ages 13-16)
Name of Parent *
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Parent Contact Phone *
### - ### - ####
Parent Email *
Additional emergency contact, if any, including name, phone number and relationship.
Health/Medical Information
Personal Health Number *
Please list any allergies (including drug allergies) or other health concerns your child may have. *
Write "not applicable" if none.
Please list any previous experience your child has with drama, dance, drama vocals, parkour, etc.
Is there anything else the instructors should know about your child?
I hereby give my consent to having my child photographed, including by video, as part of his/her participation and performance in this program. *
I consent
Please note that a more detailed waiver will be sent to you prior to the event for signature. Due to the fluid nature of COVID regulations we want the form to be up-to-date.
There may be limited funds available to help families for whom the fee is financially difficult.
I would like to apply for a scholarship for my child
Please explain briefly why you want to do this program.
Is financial assistance necessary for your child to participate?

Health/Medical Information