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Finding Nemo Musical Theater Camp: Student Registration
Dates Mon-Fri July 15-19 (9am-3pm) with Friday & Saturday afternoon performances
Address: 1300 9th St, Anacortes, WA 98221
Contact us at (360) 293-3880 or gillianwesterman@gmail.com
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* Indicates required question
Email
*
Your email
Parent First & Last Name
*
Your answer
Parent Home & Cell Phone
Your answer
Parent Email
*
Your answer
I (parent or guardian) would like to be a volunteer at this camp.
(You will receive a separate email with an additional form to fill out and volunteer training information).
Yes please!
No thank you
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Emergency Contact First & Last Name
*
Your answer
Emergency Contact Home & Cell Phone
*
Your answer
Alternate Pick Up First & Last Name
Your answer
Alternate Pick Up Phone Number
Your answer
Student First & Last Name
Your answer
Student Nickname
Your answer
Student Allergies
Your answer
Student Medical or Special Needs
Your answer
Medical Release:
I give my permission for the Nemo Camp staff to administer basic first aid to my child (named above) in the event of an injury. I understand that the Nemo Camp staff will contact emergency services in the event of a significant injury and all expenses for such emergency services will be paid by me.
*
Agree
Permission to Attend:
I give permission for my child (named above) to attend the camp listed above. I understand that the information I give for this registration will only be used by Westminster Presbyterian for the purposes of this camp and to inform me of future camps and events hosted by Westminster Presbyterian Church in Anacortes, WA.
*
Agree
Causland Park Permission:
I give permission for my student to attend outdoor games sessions at Causland park (1 block from Westminster) and understand there will be trained adults present at all times guiding the children to and from the park.
Agree
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Photo Release:
I hereby grant Westminster Presbyterian Church in Anacortes, WA permission to copyright and use photographs/videos taken at Nemo Camp of the minor designated above in any manner or form for any purpose lawful at any time. I waive any right that I may have to inspect or approve the finished product or written copy, that may be used in conjunction therewith, or the use to which it may be applied.
*
Agree
Student Dietary Restrictions
*
None
Vegetarian
Vegan
Kosher
Gluten-free
Other:
Student Preferred Pronouns
She/Her
He/Him
They/them
My student prefers a "behind the scenes" role. Please check all that apply.
Stage Crew
Costuming
Set Design
Decorations
Send me a copy of my responses.
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