Jr. Counselor Application Form – Performing Arts Workshops

PAW PLANS FOR SUMMER CAMP 2021

Our Groundbreaking Online Summer Camp Via Zoom Will Be Back For The Summer Of 2021 And Beyond!

REGISTRATION FOR OUR ONLINE SUMMER CAMP IS ALREADY OPEN.

But, the burning question on all our minds...will PAW Campers get to have an in-person camp option in 2021? We are continuing to monitor public health and safety announcements from the CDC & other health agencies for the green light to implement Performing Arts based activities (which includes group singing) for larger capacities of children. Of course the safety and well-being of our campers, teachers, families, and facility staff is our top priority. Our criteria for when we will bring back our in-person programs includes a timeline for when there is a COVID-19 vaccine that has been deemed safe, effective, and available to all children and families. In the hopes that the stars align by early Spring and these safety prerequisites come together, we proudly announce our 2021 In-Person Camp Season below! Registration for our in-person camp will be open only when we have confirmation that it is safe to return to PAW’s regularly scheduled camp programming.

AT THAT TIME THIS NOTICE WILL BE REMOVED AND THIS CAMP REGISTRATION FORM WILL BE ACTIVE.

Student's Full Name*

First Name

Last Name

Home Address*

City*

State*

Zip Code*

Student’s Cell/Home Phone Number*

Parent E-Mail Address*

Birthdate*

Age*

Gender*

Mom/Guardian's Full Name *

Dad/Guardian's Full Name

Cell Phone (Mom)*

Cell Phone (Dad)

Day Phone (Mom)*

Day Phone (Dad)

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

Emergency Contact Name*

Emergency Contact Phone*

Pediatrician Name*

Pediatrician Phone*

Select Camp Location*

Select Camp Activity*

Choose Your Session*

Hip Hop Hamilton 7/12/21 - 7/23/21 $295

Rapunzel 7/26/21 - 8/6/21 $295

Describe your experience in the arts*

Describe why you would like to be a PAW Jr. Counselor*

List names of school/summer performing arts programs you have attended*

Name of your school*

Current grade level*

Number of years experience in the Arts*

Current grade point average*

Choose Your PAW Tuition Discount

Other PAW Discount or Coupon ID Number

Optional Camp T-Shirt

Buy it now with registration for only $15. (Available at camp for $20)

I have read, understand and agree to the information regarding dates, rules and company policies:*

I agree

1. All registration, camp hours, attendance, casting and refund policies.
2. I understand the Jr. Counselors must be 15 or 16 years at time of session. PAW reserves the right to offer up to 3 spaces per session, per camp site.
3. Allow PAW to use their selected nurse, physician or call 911 in the event of an emergency and I cannot be reached. I must disclose to PAW any special needs or allergies my child may have and agree to provide arrangements as required by PAW. Failure to do so may result in the termination of camp participation and/or removal from camp.
4. Allow my child to participate in any promotional pictures and videos from the camp.
5. Cancellation of any session has a $95.00 non-refundable registration fee.
6. Deadline for refund requests is June 1st, 2021.
7. I understand there are no cash refunds if my child is absent due to illness, withdraws early or is removed from camp due to behavior or discipline problems.
8. PAW reserves the right to substitute activities as necessary.
9. Space is limited - register early to ensure a spot. A child may join a session after it has begun if space is available. Parents can call the PAW office to confirm availability when signing up on or after the start date of a session or speak with the on-site camp director. PAW reserves the right to cancel a camp session if the enrollment is insufficient. In the event of a cancelled session, PAW will refund in full or apply tuition to another session of my choosing.

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

[ Click Here For Bike/Walk Form ] If YES, complete and return the following form via email: performingartsla@aol.com

Student Will Be Picked Up By*

[Click Here For Pick Up Form] If other than parent, complete and return the following form via email: performingartsla@aol.com

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.

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

Billing Information

Card Holder’s Full Name (as it appears on card)*

Card Holder's Phone*

Address On Card*

City*

State*

Zip*

Debit/Credit Card Info

Type of Credit Card*

Card Number*

Exp. Date*

CV2# (security code)*