2024 ARTSCAMP Registration Form
Please complete this online form FOR EACH CHILD you wish to register for camp in its entirety.  

To secure your child's spot, the NON-REFUNDABLE amount must be paid via PayPal or Venmo - @PCCFA (please include your CHILD'S NAME IN THE VENMO MEMO).

REGISTRATION DEADLINE IS FRIDAY, MAY 31

IMPORTANT - There will be NO FRIDAY AFTERNOON REHEARSALS/CAMP.  

Camp will end at 11:45am EVERY FRIDAY.  

Here is a list of programs and pricing for the entire 5 week program:

1. MORNING ARTSCAMP ONLY- (8:45am-11:45am) - Students entering Grades K - 9th in September 2024
Price:  $950

2. AFTERNOON ONLY (1-5pm) Theater Production - The Sound of Music - Youth Edition. Students entering Grades 1st - 9th in September 2024 - SHOW ONLY-  The Sound of Music - Youth Edition.
Price: $950

3. FULL DAY PROGRAM (8:45am-5pm) - Students entering Grades 1st - 9th in September 2024-ARTSCAMP & SHOW - The Sound of Music - Youth Edition.
Price: $1,800

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Email *
CHOOSE 1 OPTION: *
Child's First Name *
Child's Last Name *
Child's Grade in September 2024 *
Child's Birth date *
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Home Address: *
School: *
Parent/Guardian Name *
Additional Parent/Guardian Name
Preferred Phone Number *
Preferred Email Address *
I understand that in order to secure my spot, my complete payment must be made at the time of registration via our PayPal link on our website or Venmo @PCCFA (please include your CHILD'S NAME IN THE VENMO MEMO). *
Required
I understand that all camp/show fees are NON-REFUNDABLE! *
Required
EMERGENCY INFORMATION
EMERGENCY RELEASE - PORT CHESTER COUNCIL FOR THE ARTS, INC. I hereby give my permission to the Port Chester Council for the Arts, Inc., its representatives or employees, permission to obtain medical treatment for my child(ren) in the case of any emergency.  I also grant the Port Chester Council for the Arts, Inc., its representatives or employees permission to take said child to Greenwich Hospital, Greenwich, CT, or White Plains Hospital, White Plains, NY, and obtain whatever emergency medical treatment may be deemed necessary by the physicians at said hospitals until I or another designated family member can be reached and/or arrives at said hospital. I agree to hold the Port Chester Council for the Arts, Inc., its representatives or employees blameless for any treatment or procedure performed at said hospital.  I also agree that neither I nor anyone on my behalf or on my child’s behalf shall prosecute any claim or course of action against the Port Chester Council for the Arts, Inc.  I UNDERSTAND THAT THE PORT CHESTER COUNCIL FOR THE ARTS, INC. WILL MAKE ITS BEST EFFORTS TO ADDRESS THE ALLERGIES OF ITS CAMPERS, HOWEVER, I UNDERSTAND THAT THERE MAY BE CIRCUMSTANCES BEYOND THE CONTROL OF THE COUNCIL AND ITS STAFF WHICH MAY INADVERTENTLY EXPOSE MY CHILD TO ALLERGENS, AND I AGREE TO HOLD THE COUNCIL AND ITS STAFF AND BOARD OF DIRECTORS HARMLESS FROM ANY INCIDENTS OF THIS TYPE WHICH MAY OCCUR WHILE MY CHILD ATTENDS ARTSCAMP 2024. I UNDERSTAND THAT I AM RESPONSIBLE FOR WHATEVER MEDICAL EXPENSES ARE INCURRED IN THE COURSE OF SUCH TREATMENT.
Signature for Emergency Release: *
Emergency Contact #1  - Name and phone # *
Emergency Contact #2 - Name and phone #
List any other people that have permission to pick up your child:
Child’s Physician *
Child’s Physician's Phone # *
Please list any medical limitations or allergies that your child may have:
Please add anything you would like us to know about your child, their health or their social/emotional well being.
PHOTO RELEASE AND PARTICIPATION WAIVER

PHOTO RELEASE FORM

PORT CHESTER COUNCIL FOR THE ARTS, INC.

In consideration for participation in Summer productions sponsored by the Port Chester Council for the Arts, Inc., I grant the Port Chester Council for the Arts, Inc., and any designee, agency or contractor of the Port Chester Council for the Arts, Inc. the right to use my name, likeness, and photographs either presented by me or taken by the Port Chester Council for the Arts, Inc. for the purposes of illustration, advertising, public relations or promotion in any manner and in any medium, such as and without limitation to, print, video, motion picture, transmissions (computer, internet, facsimile, satellite, etc.), and not restricted to the production named above.


Signature for Photo Release: 

 *

PARTICIPATION WAIVER

PORT CHESTER COUNCIL FOR THE ARTS, INC.

The undersigned, in consideration for participating in productions sponsored by the Port Chester Council for the Arts, Inc., hereby agrees to indemnify and to hold the Port Chester Council for the Arts, Inc., its officers, agents, designees and employees, harmless from any and all liability that results from being injured while participating in the above activity.


The undersigned hereby certifies to the Port Chester Council for the Arts, Inc. that the participant is in good mental and physical condition, is in good health, and is otherwise able to participate in this activity.  The participant acknowledges that he/she will be solely responsible for the furnishing of all safeguards and appropriate clothing and equipment for protection against injury while participating in this activity.


Signature for Participation Waiver:  

 *
To complete registration, click here to visit the PCCFA website to make payment: https://portchestercfa.org/ or Venmo @PCCFA  (Port Chester Council for the Arts) Please include your CHILD'S NAME IN THE MEMO
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