2016 Summer Little Theater Form (Laf)
Kids 'N Dance 'N Theater Arts
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  • HEALTH INFORMATION

  • Checking "Yes" authorizes Kids 'N Dance 'N Theater Arts to seek emergency medical attention for the above named camper.As the parent or authorized representative, I hereby give consent to Kids N Dance N Theater Arts to obtain Medical or Dental care prescribed by a duly licensed physician (MD) or dentist (DDS). This care may be given under whatever conditions are necessary to preserve the life, limb, or well being of the child named above.
  • If campers inadvertently bring nut products to camp, they will be asked to eat one of our nut free snacks instead. We apologize for the inconvenience and appreciate your support in helping create a safe environment for all campers. If your child has a nut allergy, it is still important that you notify staff and inform us whether an epi pen is to be supplied.
  • All medications must be provided to the staff and administering directions must be detailed here PLEASE CONFIRM NOTIFICATION AT SIGN IN
  • We want your child to have the best possible experience. Is there anything we should know about your child that will help us know what their needs are?
  • ARE YOU REGISTERED FOR BOTH MORNING AND AFTERNOON CAMPS?

  • If yes, make sure to pack an extra snack.
  • PICK UP

    Campers can be picked up in the 15 minute window BEFORE camp ends. We appreciate you making every effort to pick up your child on time because teachers have other responsibilities after camp. Charges of $1/minute will accrue after the 15 minute window of time to pick-up campers.
  • SOME LOGISTICS

  • Checking "Yes" indicates you agree to the following: I grant Kids ‘N Dance / Onstage representatives and employees the right to photograph or digitally record rehearsals or shows and authorize them to copyright, use and publish them.

  • Checking "Yes" indicates you agree to the following: I voluntarily enroll my child with full knowledge that there is risk of personal injury in any activity affiliated with KND. I agree neither I, my heirs, assigns or legal representatives will sue or make any other claims against Kids N Dance/Onstage, its members or employees for any degree of personal injury, property damage/loss, regardless of cause.
  • HELPS US HELP OTHERS FIND OUT ABOUT US

    How did you find out about our program?
  • Use your mouse or touch pad to record an electronic signature