SUMMER CAMP REGISTRATION FORM

SUMMER CAMP REGISTRATION

Child's Name*

First Name

*

Last Name

Home Address*

Street

*

City

*

State

*

Zip Code

Child's Birthday*

Age At The Time Of Camp*

Child's Gender*

Parent 1*

First Name

*

Last Name

Cell Phone Number*

Day Phone Number

EMAIL Address of Parent Enrolling Camper*

Parent 2

First Name

Last Name

Cell Phone Number

Day Phone Number

EMERGENCY CONTACT INFORMATION

*Emergency Contact is an adult (other than the parent/guardian) who can be called in the event of an emergency, when a parent/guardian cannot be reached. PAW will always FIRST attempt to reach the parent/guardian. Do not list parent/guardian here.

Emergency Contact Person*

Full Name

Cell Phone Number*

Relation To Child*

Pediatrician Name*

Full Name

Phone Number*

CHILD PICK-UP AUTHORIZATIONS

Child will be picked up by:*

If other than Parent, complete and return the following form via email: performingartsla@aol.com.

Click Here For: Pickup Authorization Note

I give permission for my child to walk/bike home from camp daily:*

If YES, complete and return the following form via email: performingartsla@aol.com. (Please Note: PAWs “Release Authorization” does specifically require your child to leave campus once they sign-out to walk or bike home. Children are not permitted to remain on campus once they are released by PAW, and are no longer under our supervision, or wait at a designated location on campus for parent pick-up.)

Click Here For: Walk/Bike Authorization Note

BUILD YOUR SUMMER SCHEDULE

TWO WEEK CAMP SELECTION: MUSICAL THEATER

SESSION 1: June 17 - June 28

(Open at 3 Locations for June 19th Holiday)

Activity Choices & Locations Session 1

Would you like to add Sunrise Student?

Would you like to add Extended Day?

SESSION 2: July 1 - July 12

(Closed for July 4th Holiday)

Activity Choices & Locations Session 2

Would you like to add Sunrise Student?

Would you like to add Extended Day?

SESSION 3: July 15 - July 26

Activity Choices & Locations Session 3

Would you like to add Sunrise Student?

Would you like to add Extended Day?

SESSION 4: July 29 - Aug 9

Activity Choices & Locations Session 4

Would you like to add Sunrise Student?

Would you like to add Extended Day?

*ONE-WEEK Musical Theater Session 4: JULY 29 - AUG 2

Activity Choices & Locations Session 4

Would you like to add Sunrise Student?

Would you like to add Extended Day?

ONE WEEK CAMP SELECTIONS:

Actor's Sizzle Reel • Debate • Guitar • LOL

Photography • Poetry Slam • Stage FX Makeup • Top Pop Choir

WEEK 1: June 17 - June 21

(Open at 3 Locations for June 19th Holiday)

Activity Choices & Locations Week 1

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 2: June 24 - June 28

Activity Choices & Locations Week 2

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 3: July 1 - July 5

(Closed for July 4th Holiday)

Activity Choices & Locations Week 3

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 4: July 8 - July 12

Activity Choices & Locations Week 4

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 5: July 15 - July 19

Activity Choices & Locations Week 5

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 6: July 22 - July 26

Activity Choices & Locations Week 6

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 7: July 29 - Aug 2

Activity Choices & Locations Week 7

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 8: Aug 5 - Aug 9

Activity Choices & Locations Week 8

Would you like to add Sunrise Student?

Would you like to add Extended Day?

ORDER A PAW THEATERGRAM

A keepsake TheaterGram with your loving words of encouragement will be hand delivered to your child by PAW teachers backstage before the show. Just $10

(A truly wonderful way to help support PAW’s scholarship program)

PAW TheaterGram*

No

Yes

CHOOSE YOUR CAMP DISCOUNT

Only ONE discount, gift certificate, or coupon may be applied per registration. The amount will be deducted from your total when PAW manually processes your credit/debit card.*

Other PAW Discount or Coupon Code

BILLING INFORMATION

Payment Method (Please Select One):

Option 1: PRE-PAID PAW TUITION/GIFT CERTIFICATE

Option 2: DEBIT / CREDIT CARD

Cardholder’s Name (as it appears on the card)

Cardholder’s Phone Number

Cardholder’s Billing Address

Street

City

State

Zip Code

Credit/Debit Card Information

Type Of Card (VISA, MC, AMEX, etc.)

16-Digit Card Number

Expiration Date (mm/yy)

CV2# (Security Code)

CAMP POLICIES

I have read, understood and agree to the information listed below regarding dates, rules, and company policies.*

Initial Here

I have read, understood and agree to all camp registration policies, hours, session dates, attendance, casting and refund policies stated on this form and on the PAW website. I understand that it is my responsibility to “save the date” and attend the session(s) I have enrolled in and that the deadline to switch camp sessions is June 1st (providing that there is space in the session I wish to switch into). I understand that requests to switch sessions must be submitted in writing via email to performingartsla@aol.com by June 1st.*

Initial Here

I understand PAW campers will range in ages from 5-14. Age requirements are as follows: Musical Theater 5-14, Actors Sizzle Reel 9-14, Debate 9-14, Guitar 8-14, LOL Stand Up 9-14, Photography 8-14, Poetry Slam 9-14, Rock The Mic 9-14 and Stage FX Makeup 9-14.*

Initial Here

I understand that all activities are enrolled on a first come, first served basis. PAW reserves the right to offer up to only 60 spaces in Musical Theater per session, per camp site, and up to only 10 spaces in each Actors Reel, Debate, Guitar, LOL Stand Up, Photography, Poetry Slam, Rock The Mic, or Stage FX Makeup.*

Initial Here

I understand and agree to all of PAW’s COVID safety measures, protocols and policies stated herein. I additionally understand that the following protocols may be subject to change based on COVID case numbers at the time of each camp session. These include but are not limited to; providing an “optional” mask wearing policy with the understanding that it may return to a mask mandate if PAW deems it necessary, requiring frequent hand washing/hand sanitizing, requiring temperature checks for children or adults as needed, not allowing children who display any potential symptoms of COVID on campus (runny nose, fever, cough, headaches, fatigue, etc.). I understand that campers may only return with proof of a fully Negative rapid COVID test (which can also be brought to camp and performed together). I understand that PAW offers an “optional” mask wearing policy for audience attendees with the understanding that PAW retains the right to require masks be worn if we deem it necessary, as well as limiting the number of family members that may attend any camp performance. I understand that some of these policies are prescribed by the CDC for public safety, some are required per each camp location rental and some of which we here at PAW require in order to ensure the safety of each camper, staff member, teacher and family member. *

Initial Here

I allow PAW to use their selected nurse, physician or to call 911 in the event of an emergency and I cannot be reached.*

Initial Here

I understand that I must disclose to PAW in writing (via email to performingartsla@aol.com) any allergies, medical needs or special needs that my child may have at least 3 weeks prior to the start of my child’s camp session, and agree to provide arrangements as required by PAW. I acknowledge that failure to do so may result in my child not being able to attend camp or may result in the termination of camp participation and/or removal from camp.*

Initial Here

The child I am enrolling with this registration has allergies, special medical requirements, and/or special needs or disabilities. (examples may include: ADHD, Peanut Allergy, Bee Stings, Asthma, Epilepsy, Diabetes, Autism, Asperger’s, Etc.) *

Yes

No

If YES, please describe...

(Descriptions may include: ADHD, Peanut Allergy, Bee Stings, Asthma, Epilepsy, Diabetes, Autism, Asperger’s, Etc.)

I understand that PAW reserves the right to substitute teachers, activities, and curriculum as necessary.*

Initial Here

I allow my child to participate in any promotional pictures or video from the camp.*

Yes

I understand that space is limited and PAW encourages registering early to ensure a spot. A child may join a session after it has begun only if space is available. Once a session has begun, it is recommended that parents call the PAW office to confirm availability. PAW reserves the right to cancel a camp session if the enrollment is insufficient. In the event of a cancelled session due to low enrollment, PAW will refund in full or apply my tuition to another session of my choosing providing space is available.*

Initial Here

I understand there are no cash refunds if my child is absent for any reason including illness, withdraws early or is removed from camp due to behavior or discipline issues.*

Initial Here

I understand that the deadline to receive a cancellation refund is May 15th. No refunds after that date. Cancellation of any camp session has a $95.00 nonrefundable registration fee. Cancellation refund requests must be submitted in writing via email to performingartsla@aol.com. Deadline to switch camp sessions is June 1st, provided that there is space in the session you are switching into and must be submitted in writing via email to performingartsla@aol.com.*

Initial Here

I acknowledge that drop off and supervised play is offered from 8:45am until 9:00am. CAMP DAY BEGINS AT 9:00am. Children enrolled in PAW’s paid “Sunrise Student Program” are allowed to be dropped off when the doors open at 8:00am.*

Initial Here

I acknowledge that the regular camp day ends at 3:00pm with standard pick up period beginning at 3:00pm to 3:15pm.*

Initial Here

I acknowledge - At sites without extended day, any child not signed out after 3:20pm will incur a $1 per minute supervision fee. - At sites where extended day is available, any child left after 3:15pm will automatically join extended day for a tuition fee of $25 and the child must be picked up by 5:00pm. Any child not signed out by 5:00pm will incur a $1 per minute supervision fee.*

Initial Here

I acknowledge that I am responsible for providing enough non-perishable food for my child to have a mid-morning snack in addition to a complete lunch and a bottle of water. I also acknowledge that PAW camp staff cannot provide any food or drink to children, nor can PAW provide any refrigeration of children’s lunches.*

Initial Here

I acknowledge and consent to PAW sending me camp information and updates via phone, email and/or text.*

Initial Here

I acknowledge that if I selected to allow my child to walk/bike home, PAW requires me to sign a separate release.*

Initial Here

I acknowledge that if I selected my child to be picked up by somebody other than myself, PAW requires me to sign a separate release with a list of those individuals.*

Initial Here

In the event of an Act of God and/or Force Majeure event, I understand, acknowledge and agree to the following: Based on Performing Arts Workshops’ assessment of public health and safety, PAW reserves the right to switch to or from in-person and online programming platforms or to reschedule the PAW Workshops/Camps/Classes. If an Act of God and/or Force Majeure event occurs once a parent or guardian has paid and registered for any PAW Workshops/Camps/Classes, the full tuition credit (if prior to the start date) or prorated remaining tuition credit (if the session has already begun) can be applied to PAW Workshops/Camps/Classes of the parent’s/guardian’s choosing and is valid for a period of three years from the time of the event. Unused tuition will be deemed to have been forfeited if not redeemed for PAW Workshops/Camps/Classes, in that three year period.*

Initial Here

Click Here: Definitions of an act of God and force majeure.

On behalf of my child and for myself, I knowingly assume all risks arising from participation in activities related to camp programming. I certify that I have legal authority to sign this release/waiver of liability, and sign it without duress or coercion.*

Initial Here

How did you hear about PAW? (i.e. Facebook, Instagram, LA Parent, Google Search, Personal Referral From ________ , etc.)