Little Owl Preschool Summer Theater Camp 2022

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If registering more than one child you may use the same form. Please be sure to specify each child's info.

Parent's Name *

Participant's Name(s) *

Date(s) of Birth *

Phone *

Email *

Special Skills or Talents *

Any special needs, allergies, or anything you would like us to know? Also, emergency contact information if different than above. *

Which class are you registering for? *

July 11th to 14th (Mon. - Thurs.) at little Owl Preschool from 10 AM to 12 PM and July 15th (Fri.) from 3 to 5 PM with production at 4:30 PM at Bountiful Library

August 1st to 5th (Mon. - Thurs.) at little Owl Preschool from 10 AM to 12 PM and August 5th (Fri.) from 3 to 5 PM with production at 4:30 PM at Bountiful Library

I have paid the $85 Theater Camp fee through Venmo @littleowlpreschool. (Please remember to deduct $5 per additional sibling enrolled.) *

Yes

Liability Release Agreement: I verify that my child is covered under my own or my family’s medical insurance policy. I do not and will not hold Little Owl Preschool, or its owners, responsible for any injury occurring before, during, or after the summer classes. Furthermore, I give permission for Rachel Flint or other staff members to administer first aid and/or CPR to my child, and to call an ambulance and/or paramedic in case of an emergency. *

Yes

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