Registration Form: Camps

Student's Full Name(required)

Date of Birth (Year/Month/Day)(required)

Are you signing up as an LIT (Leader In Training) - born 2010 or earlier? Please state past experience below.

Address(required)

Postal Code(required)

City(required)

Parent/Guardian 1(required)

Parent/Guardian 2

Email 1(required)

Email 2

Home Phone Number(required)

Cell Number 1

Cell Number 2

Summer Camps: One Week Camps 2023 ($250 + HST)

July 31-Aug 4 - Under the Big Top Aug 8-11 - Wheel of Themes (4 day - $225 + HST) Aug 14-18 - Enchanted

Summer Camps: Two Week Camps 2023 ($375 + HST)

July 3-14 - Disney Around the World July 17-28 - Everyday Heroes

Emergency Contact (name)(required)

Emergency Contact (phone #)(required)

Has your child ever suffered from asthma, heart problems, breathing problems or any other medical condition that may affect his/her ability to participate in this program?(required)

Is your child on any medication?(required)

Does your child have any allergies? Please specify(required)

Does your child have any behavioral or alternative accommodations? Please specify.

Additional Notes or Comments (Are You Coming with a Friend? Please note: Only campers who are relatively close in age can be placed in the same group as we adjust and build our skills and daily programs based on age/experience)

Injury Waiver: Each student and his or her legal guardian(s) hereby release Milton Youth Theatre Productions and Directors, Teachers and Employees from claim for personal injury sustained in, on or about the facilities(required)

Photography & Video Waiver: Each student and his or her legal guardian(s) hereby release Milton Youth Theatre Productions the rights to all photography and video that may be taken by or for Milton Youth Theatre Productions during classes or performances, for use in advertising and promotion, including television coverage.(required)