CONTACT | ACT YOUTH BOARD

ACTINGUP WAITLIST

Camper First/Last name

Camper age by 7/8/24

Parent/Guardian #1 Email

Parent/Guardian #2 Email

Parent/Gaurdian #1 Number

Parent/Gaurdian #2 Number

Primary home address

Parent/Guardian #1 First and last name

Parent/Guardian #2 First and last name

Please list individuals allowed to pick your camper up

Please read and accept the following statement: I hereby give consent to let my child participate in all activities under ACTing Up’s Performance Camp, sponsored by Alamance Children’s Theatre.

Please read and accept the following statement: My child will be fully present for all five days of camp as well as both performances. I will make this camp week a priority for my child and reschedule any additional activities or appointments. If an unexpected conflict arises, I agree to notify the ACTing Up staff who may withdraw my child from camp at their discretion.

Camper Birthday

Camper's Gender

Camper's current school

Camper's T-shirt size

Does your camper have any noteble allergies that we may need to know about?

Does your child have any noteble medical conditions that we may need to know about?

Does your child have medications that we need to keep on hand?

Is your child allowed to have their picture taken for our website/Socials

Is your child allowed to have their picture taken for headshots? (These will only remain in the building)

Anything else you need to let us know about your child?

Please read and accept the following statement: I understand that the $50 registration fee is non-refundable and will not be returned for any reason should I choose to remove my child from camp.