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IN-PERSON SUMMER CAMP REGISTRATION FORM

OUR AWARD WINNING IN-PERSON CAMPS WILL RETURN FOR THE SUMMER OF 2022!

Registration for the 2022 Summer Camp Season Opens September 1^st

Child's Name*

First Name

*

Last Name

Home Address*

Street

*

City

*

State

*

Zip Code

Parent’s Primary Phone Number*

Parent’s Primary EMAIL Address*

Child's Birthday*

Age At The Time Of Camp*

Child's Gender*

Parent 1*

First Name

*

Last Name

Cell Phone Number*

Day Phone Number

Parent 2

First Name

Last Name

Cell Phone Number

Day Phone Number

If your child is enrolling in Stage FX Makeup, please select Your Child's Ben Nye Makeup Kit Complexion:

EMERGENCY CONTACT INFORMATION

*Emergency Contact is an adult for emergency use only – when a parent/guardian cannot be reached. 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.

Click Here For: Walk/Bike Authorization Note

BUILD YOUR SUMMER SCHEDULE

TWO WEEK CAMP SELECTIONS:
Musical Theater Camp ~ Guitar Camp

SESSION 1: July 12 - July 23

Choices For Session 1 Activities

Would you like to add Sunrise Student?

Would you like to add Extended Day?

SESSION 2: July 26 - August 6

Choices For Session 2 Activities

Would you like to add Sunrise Student?

Would you like to add Extended Day?

ONE WEEK CAMP SELECTIONS:
Photography Camp ~ Camp LOL ~ Debate Camp ~ Karate Camp

WEEK 1: July 12 - July 16

Choices For Week 1 Activities

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 2: July 19 - July 23

Choices For Week 2 Activities

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 3: July 26 - July 30

Choices For Week 3 Activities

Would you like to add Sunrise Student?

Would you like to add Extended Day?

WEEK 4: August 2 - August 6

Choices For Week 4 Activities

Would you like to add Sunrise Student?

Would you like to add Extended Day?

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 CREDIT/GIFT CERTIFICATE

Please apply my credit from my pre-paid tuition to the total for this in-person summer camp registration. Any remaining balance will be applied to my future sessions. If the total of my camp selections exceed my credit on file, I authorize PAW to charge my card on file for the amount due. Prior to charging any balance, PAW will email me the amount due for my review.

To Authorize, Initial Here

Option 2: CREDIT/DEBIT 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.*

To Agree, Initial Here

I have read, understood and agree to all camp registration, hours, attendance, casting and refund policies.*

To Agree, Initial Here

I understand PAW campers will range in ages from 5-16. Age requirements are as follows: Musical Theater 5-16, Guitar 7-15, Filmmaking 8-15, Magic 8-15, Stage FX Makeup 8-16, Photography 8-15, Rock The Mic 8-16, Debate 9-16, Karate 8-14, LOL 9-16.*

To Agree, Initial Here

I understand that all activities are enrolled on a first come first serve basis. PAW reserves the right to offer up to only 60 spaces in Musical Theater per session, per camp site, and up to only 12 spaces in Guitar, Filmmaking, Magic, Stage FX Makeup, Photography, Rock The Mic, Debate, Karate and Camp LOL.*

To Agree, 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.*

To Agree, Initial Here

I understand that I must disclose to the PAW office administration staff any allergies 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.*

To Agree, Initial Here

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

To Agree, Initial Here

I understand that PAW reserves the right to substitute activities as necessary.*

To Agree, Initial Here

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.*

To Agree, 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.*

To Agree, Initial Here

I understand that the deadline to receive a cancellation refund is June 1st. No refunds after that date. Cancellation of any session has a $95.00 nonrefundable registration fee.*

To Agree, 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.*

To Agree, Initial Here

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

I acknowledge that supervised play and drop off is offered from 8:30am until 8:55am at no extra charge. Camp day begins at 9:00am. (Children are not allowed to be dropped off before the doors open at 7:45am for paid Sunrise Students).*

To Agree, Initial Here

I acknowledge that the regular camp day ends at 3:00pm with a courtesy pick up period from 3:00pm to 3:10pm.*

To Agree, 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 3:20pm will automatically join extended day for a tuition fee of $20 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.*

To Agree, 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.*

To Agree, Initial Here

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

To Agree, Initial Here

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

To Agree, Initial Here

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

To Agree, Initial Here

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.*

To Agree, Initial Here

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

This field should be left blank

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