AEP Musical Theatre Camp - July 22-26
Sign in to Google to save your progress. Learn more
Email *
Participant Name (First and Last) *
Participant Date of Birth *
MM
/
DD
/
YYYY
Participant Grade Level *
If in Chicago or Chicagoland area, what school does your child attend?
Does your child have any allergies and/or medical conditions? *
If you answered yes, please list all allergies and/or medical conditions.
Anything else you would like us to know about your child?
Primary Parent Name (First and Last) *
Primary Parent Email *
Primary Parent Phone Number *
Primary Parent Address *
Secondary Parent Name, if applicable (First and Last)
Secondary Parent Email
Secondary Parent Phone Number
I would like to register for the following camp(s):  *
Required
How did you hear about us? *

WAIVER AND INFORMED CONSENT:  I, as parent/guardian of the aforementioned participant, understand that, by enrolling my child in an American Eagle Productions, Inc. program, American Eagle Productions, Inc. will take precautions to maintain a safe environment. I certify my child is fit for the program(s) in which I have enrolled them. I give American Eagle Productions, Inc. my permission for the public display of pictures and or video of my child for possible advertisement purposes (i.e. videos, social media, web site, etc. - no names will be used). As the legal parent or guardian, I release and hold harmless American Eagle Productions, Inc., its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant while in or upon the premises or any premises under the control and supervision of American Eagle Productions, Inc., its owners and operators or in route to or from any of said premises.

*Please initial below 

 *
I understand by clicking "Submit," I agree to pay the fees for the selected camp(s) and abide by the cancellation policy. *
A copy of your responses will be emailed to the address you provided.
Submit
Clear form
Never submit passwords through Google Forms.
reCAPTCHA
PrivacyTerms
This form was created inside of americaneagleshows.com. Report Abuse
Google Forms