JC Youth Drama Camp 2024 Registration (Ages 12-14)

Drama Camp 2024  Dates: June 17-18, 20-21

Locations: The Park Civic Theatre for Monday, Tuesday, and Friday - Thursday TBD

TIMES: 9-12 pm

Showcase for the public on Friday, June 21st at 11 am 

Sponsored by Perceptions Yoga, Mindfulness & Art, Park Theatre and Civic Center, Jennings Experimental Theatre Troup (Briana Barger) 
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Email *
Parent/Guardian Name *
Phone *
How many children AGES 12-14 are you registering for the camp? *
List the NAMES, AGES, and the T-SHIRT SIZES of all children AGES 12-14 you are registering  (Youth S, Youth M, Youth L, Youth XL, Adult S, Adult M, Adult L, Adult XL).  *
Dietary restrictions/Allergies *

Photo Release for Jennings County Youth Drama Camp 

By typing in my name below, I give permission and consent for pictures or videos to be taken of my child(ren) named above.  I further give permission and consent that any such photographs, digital images, video recordings or similar media may be published and used by Jennings County Youth Drama Camp, to illustrate and promote the theatre experience, whether it be camp, youth productions, promotional events, educational  programs, or any other advertising purposes associated with Perceptions Yoga and/or Park Theatre Civic Center. I understand that my child’s name will not appear with a picture unless I give my permission in writing. 

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Liability Release Form for Jennings County Youth Drama Camp

In consideration for my child being permitted to participate in classes or productions with Jennings County Youth Drama Camp and related events and activities, by typing my name below, the undersigned acknowledges and agrees that: as the natural parent and/or as the legally authorized guardian, do hereby for myself, my spouse, my child, and on behalf of my/our heirs, personal representatives, and assigns, agree not to sue and hereby release, waive, discharge, hold harmless and indemnify and forever defend Perceptions Yoga and/or Park Theatre Civic Center and/or Jennings Experimental Theater Troup (Briana Barger et al) individually and collectively, its officers, employees, servants, agents, and directors, from any and all liability, losses, claims, actions, suits, procedures, demands, rights, and causes of action of whatever nature, in law and equity, for any and all known or unknown, foreseen or unforeseen, bodily or personal injuries, death and permanent injury, illnesses, damage to property, or other losses, and any consequences thereof, including expenses, costs, and attorney’s fees, as may be sustained by my child or me arising out of or in any way associated with my child’s participation in any activity sponsored by Jennings County Youth Drama Camp, whether by negligence or not, to the fullest extent permitted by law.

I also understand that any medical charges incurred as a result of any injury sustained while participating in any event sponsored by Jennings County Youth Drama Camp, will be my responsibility.

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