2023 Sudbury Performance Group Summer Company Registration Form
By completing this form, you acknowledge that you are giving up certain
legal rights and hereby represent and warrant to Sudbury Performance Group:

(1) You are over the age of majority in your jurisdiction of residence.
(2) You are registering on behalf of a minor and are their parent/legal guardian and as such
are fully authorized and entitled to enter into this agreement on their behalf.

Please provide your email address below to receive your registration confirmation, newsletters, and information guide!

IN ORDER FOR REGISTRATION FORMS TO BE PROCESSED,
ALL SECTIONS MUST BE COMPLETED, INCLUDING PAYMENT.

IF YOU HAVE ANY QUESTIONS OR NEED MORE INFORMATION, PLEASE FEEL FREE TO CONTACT Mark AT 705-662-8518
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Please indicate which session(s) you desire: *
Required
YOUTH INFORMATION
LAST NAME *
FIRST NAME *
GENDER *
Child's age (6-14 only) *
HOME ADDRESS *
CONTACT PERSON #1
LAST NAME *
FIRST NAME *
EMAIL ADDRESS *
HOME PHONE *
WORK PHONE
CELL PHONE *
ADDRESS *
RELATIONSHIP TO YOUTH *
CONTACT PERSON #2
LAST NAME *
FIRST NAME *
EMAIL *
HOME PHONE *
WORK PHONE
CELL PHONE *
ADDRESS *
RELATIONSHIP *
MEDICAL INFO.
Is the participant under any form of treatment for an illness, condition, or injury?  If no, please type no.  If yes, please explain and detail routines, medications, adaptations etc.    *
Does your child have any medical or behavioural conditions that we should be aware of? If no, please type no. If yes, please take a moment to explain. *
Does the camper have any allergies?   If no, please type no.  If yes, please describe. *
Does the camper have any dietary needs or restrictions?  if no, please type no. If yes,  please describe. *
CANCELLATIONS:     Cancellation requests received at least 14 days before the start of camp will receive a refund, minus an administration fee of $25 per program being cancelled. Cancellation requests received with7 days’ notice will receive a refund minus an administration fee of 50% of the cost of the program being cancelled. Cancellation requests that are received less than 7 days prior to the start of the program being requested to cancel will not qualify for a refund.   PLEASE ACKNOWLEDGE BELOW. *
Required
PHOTO AND VIDEO CONSENT, ASSIGNMENT AND RELEASE FORMPURPOSES:                                               For marketing, advertising, promotional and/or communication purposes, Sudbury Performance Group may, from time to time, take photographs and/or video recordings of Sudbury Performance Group based activities or events that include real people, which photographs and video recordings will be used by Sudbury Performance Group, for its own informational, promotional or advertising purposes, and by any other person authorized by Sudbury Performance Group to use such photos or video recordings. *
Required
PAYMENT
IN ORDER FOR REGISTRATION FORMS TO BE PROCESSED, PAYMENT MUST BE RECIEVED.
YOU CAN PAY:
-WITH CREDIT CARD BELOW
-PAY OVER THE PHONE OR BY ETRANSFER WITH  Mark at 705-662-8518
-PAY VIA OUR EVENTBRITE AT THE FOLLOWING LINK: https://tinyurl.com/46jcscz4 
Please enter your credit card number below (INCLUDE EXPIRY DATE AND CODE ON BACK): *
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