2022 Summer Camp Registration

Parent Name *

First Name

Last Name

Camper Name *

First Name

Last Name

Emergency Contact Name *

First Name

Last Name

Camper/Parent Agreement *

-More than two late arrivals or pick up exceeding 15 mins may result in camper dismissal. -While at camp, every policy must be respected. Any broken rule will result in a verbal warning, followed by further action if necessary. -Camp attendance is mandatory. All campers who miss 2 days or will not be present on July 30th are subject to camp dismissal (excludes certain circumstances). By checking the box below, parents and campers both agree to claim responsibility for the behavior and actions of the camper while at camp and agree to all potential consequences.

Yes, we agree

No, we do NOT agree

Photo/Video Release *

Parent or guardian gives permission for all photos and videos of the camper to be used at the discretion of Riverside Theater in promotions.

Yes

No