Summer Show Camp 2024 Registration Form
Theatre kids ages 8 - 15 will be rehearsing and performing Finding Nemo Jr. during this 4 week performance camp.  The camp runs June 3rd - June 28, 2024 from 9 AM - 4 PM Monday - Friday.

Auditions will be Saturday, May 17th from 9 AM - 1 PM and Callbacks will be Sunday, May 18th from  9 AM - 1 PM.  All registered campers will get a part in the show!  The final public show will be Saturday, June 28th at 2 PM.  Campers to arrive by 10:30 AM on June 28th.   
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Camper's Name *
Camper #2 (sibling discount)
Camper's preferred pronouns
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Camper #2's preferred pronouns
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Camper's Birthdate and Age *
Camper #2 Birthdate and Age
T-shirt size - Camper 1 *
T-shirt size - Camper 2
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Parent / Guardian's name: *
Parent / Guardian's Email Address: *
Parent / Guardian's Cell Phone Number *
Home Address (street, city and zip code): *
Allergies/ Medical Needs (n/a if not applicable): *
Tuition is $850 / Sibling $765
You can pay by credit card, check or via Ticketleap on the Lake Worth Playhouse website *
ENROLLMENT CONFIRMATION: Registration will be confirmed upon receipt of completed Registration Form, a signed Code of Conduct and a 50% tuition deposit or payment in full for camp. STUDENTS WILL NOT BE ADMITTED TO CAMP WITHOUT SIGNED REGISTRATION DOCUMENTS AND TUITION PAID IN FULL WITH NO REMAINING BALANCES. Payments may be made any time prior to the camp session’s begin date via Ticketleap or by calling the Box Office at 561-586-6410 with credit card information.  There will be no refunds after 6/9/24. *
MEDICAL AUTHORIZATION: The undersigned hereby fully releases and discharges the Lake Worth Playhouse, Inc., its assigns and successors, from all rights, claims and actions which the minor or his or her successors may have against the Lake Worth Playhouse, Inc., arising out of the minor’s or individual’s participation. The undersigned also authorizes the Lake Worth Playhouse to arrange for emergency medical treatment on the student’s behalf in the event that Lake Worth Playhouse Staff are unable to contact the parent or guardian of a minor student, or in the event an adult student is unable to arrange for emergency medical treatment for any reason.  *
MEDIA / PHOTO RELEASE:  The undersigned authorizes the Lake Worth Playhouse to use photos and video images of Lake Worth Playhouse students for publication and promotional purposes. *
MEDICAL INFORMATION: Please provide the name of your insurance company, the name of the insured and the policy number. *
SIGN-OUT AUTHORIZATION: In addition to the legal guardians, I give the following person (s) permission to pick-up my child. *
By checking this box, I agree all of the above information is correct to the best of my knowledge. *
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