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Francesca: I Was Or Am
Crimes of the Heart
Curio Theatre School
Summer Camp 2018
Theatre School Feedback Form
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Dollar Stroll Reservation
To register for Curio Camp 2018, please answer the following questions:
Camp Session 1 (July 2 - 13)
Camp Session 2 (July 16 - 27)
Indicates required field
Student's Age (at time of Camp)
Student's Grade In Fall 2018
What school does your student attend?
Parent or Guardian
Main Phone Number
Secondary Phone Number
Emergency Contact Name
Emergency Contact Number
Does this student have any medical conditions we should be aware of?
Will this student need to take medications (including inhalers) during the Camp day? Please list instructions for our staff.
So our staff can be better prepared, does this student have any physical or learning disabilities?
Any allergies (food, medicinal, or environmental)?
Name of Student's Physician
Physician's Phone Number
In case of emergency, do we have permission to take your child to the nearest hospital?
How will your child be getting to and from camp?
Is your child permitted to go home alone?
If someone other than the parent or guardian will be picking up a student, please list the people who are authorized to pick up your student from Camp.
Please let us know how you heard about Curio Theatre Camp.
Do we have permission to take photos and/or video of this camper during class and final showcases for use on our website, newspaper articles, and other marketing and grant purposes?
May we email you regarding future updates/opportunities with the Curio Theatre School?