MUSICAL THEATRE SUMMER CAMP 2020 REGISTRATION INFORMATION Watch for news and our expected April registration date for our three Summer Camps in Burlington, Milton and Oakville. FRONT OF THE LINE POLICY Camp Registration Summer Camp ArtHouse 2020 Registration * FULL WAIT LISTED KIDS Camp ArtHouse Seussical OAKVILLE Ages 7-13 July 2-12, Iroquoise Ridge SS, 10am-4pm YOUTH INTENSIVE Camp ArtHouse Seussical BURLINGTON Ages 12+ August 12-16, Robert Bateman, 9am-4pm FRONT OF THE LINE REFERRAL - Spaces are given first to those who are affiliated with one of our partner agencies or would not be able to access ArtHouse programs if there was a Registration Fee, please check the appropriate box below. If Front of the Line does not apply to you please select 'NONE OF THE ABOVE' * Low Income Big Brothers Big Sisters Kerr Street Mission Children's Aid Food For Life Halton Community Housing Corporation Home Suite Hope Boys and Girls Club The Lighthouse ROCK Society of Saint Vincent de Paul Nelson Youth Centre Halton Multicultural Council NONE OF THE ABOVE/Front of the Life does not apply to my family Other (please list below ie. single parent family) If "Other" enter hereIf "Other" enter here PARENT / GUARDIAN NAME * First Last * Last PARTICIPANT NAME * First Last * Last PARTICIPANT DATE OF BIRTH * GRADE * SEX MALE FEMALE EMAIL * SECONDARY EMAIL (OPTIONAL) PREFERRED PHONE NUMBER ADDRESS Street Address Address Line 2 City Province Postal Code EMERGENCY CONTACT (OTHER THAN YOURSELF) * First & Last Name Relationship to Participant EMERGENCY CONTACT PERSON PHONE NUMBER * Does the participant have allergies? * Yes No If yes, please specify the allergies: * PARENT CONSENT * I give consent for my child to participate in the ArtHouse Program/s I have indicated. PARENT RESPONSIBILITY – I take full responsibility for the safety of my child immediately following the conclusion of the program. If my child is not picked up immediately following the conclusion of the program, my emergency contact will be called. I agree not to hold any of the ArtHouse venue providers responsible for any harm or injury to my child that may result during the time spent at ArtHouse Programs. I have read the Front of the Line Policy created to offer priority registration opportunities to children whose families cannot access fee-related Arts Programs. * I AGREE PARENT / GUARDIAN NAME / S * First PARENT / GUARDIAN NAME / S * Last PARENTS - PHOTO/AUDIO RELEASE FORM FAMILY - PHOTO/AUDIO RELEASE FORM - from time to time ArtHouse and/or its Community Partners may take and use photographs and/or audio-video recordings of its young participants and family members to help build awareness about the program and to encourage donor support so that we can continue to provide cost-free programs. I consent to the use of my photographic image and those of our family members in printed material or other media used by ArtHouse in connection with its programs, advertising, fundraising or other public relations activities. Such use shall be without compensation to me. This consent shall be in effect until it is revoked at any time in writing. If it is revoked, such revocation will not affect any use of my image (my child’s image) while this consent was still in effect. I have read the above and agree with its contents: * I AGREE PARENT / GUARDIAN NAME / S * First PARENT / GUARDIAN NAME / S * Last CHILD’S CONTRACT WITH ARTHOUSE - I will use good manners and respect my volunteers and instructors. I will respect the property that I am on at all times. * * I AGREE I DISAGREE PARENT / GUARDIAN NAME / S * First PARENT / GUARDIAN NAME / S * Last DATE OF SUBMISSION: reCAPTCHA Submit “I learned how to project my voice and increase my confidence on stage.” – ARTHOUSE CAMPER