Kaleidoscope Kids Camp Application
Kaleidoscope Theatre
207 E 24th St, Lynn Haven, FL 32444  

FIRST pay online using the following link:
https://kt-online.vbotickets.com/event/Kids_Camp_2023/93715

SECOND: Return to this form and fill out this application  :

For Scholarships send in application with Scholarship written on this application.  
Camp Dates: June 12 – June 17, 2022 - 8:30am – 2:30pm

WE ARE BACK HOME AT KALEIDOSCOPE THEATRE!
Kaleidoscope Theatre will be offering a summer theatre camp for students entering 4th grade or above (2023/2024 school year). During the camp, campers will be introduced to all aspects of theater including onstage and offstage techniques. Every camper will be part of both a short play/skit and a musical production that will be presented on Saturday, June 17 at 1pm. The cost of the camp is $175 per child ($140 for each additional child in the same family), and includes a T - shirt, daily snacks & drinks, and pizza lunch on Saturday. Campers bring their own lunch Monday – Friday. Please pack nothing that needs to be refrigerated or microwaved.
Registration deadline limited to the first 48 applicants.
For additional information e-mail me at loisjcarter45@gmail.com
Campers must come to the performances on Saturday. Please do not register if they cannot be there for the productions.
Please know you are NOT registered until you pay your fees or let me (Lois Carter) know you need a scholarship.


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Email *
Child's Name *
Date of Birth *
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Gender *
Grade (in Fall) *
Parent/Guardian *
Email *
Address *
Phone (including cell and home) *
Emergency Contact/Emergency Contact phone number/Relationship to child *
List any food or other allergies *
List any medications we need to administer and when *
T shirt size *
E Signature (please type full name) *
As parent/guardian, I give my permission for my child to attend the Kaleidoscope Theatre Camp at Kaleidoscope Theatre in Lynn Haven Florida. In consideration of this opportunity to participate, I agree to hold Kaleidoscope Theatre, its staff, officers, directors, trustees, agents, and volunteers harmless from any and all claims and liability arising from illness, injury, and damages which may arise in the course of my child's participation. In case of emergency, Kaleidoscope Theatre has my permission to have my child transported to the nearest hospital. I have attached written instructions and give permission for Kaleidoscope Theatre to administer the above listed medication. I also give permission for my child to be photographed during camp activities and understand these photos may be used in promotional materials and viewed on KT websites. I understand that my contact information will be added to the Kaleidoscope database and I will receive information from the theatre by email  and/or mail. I can ask to be removed at any time, but removal may mean not being notified in a prompt manner for the next season. *
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