Virtual Camp Registration Form

Virtual Summer Camp Registration Form

Camp Title *

Student Information

Name *

Phone Number *

Street Address *

City, State, Zip *

Student Email *

Date of Birth *

Grade Level *

School *

Parent 1 Name *

Parent 1 Phone Number *

Parent 1 Email *

Parent 2 Name

Parent 2 Phone Number

Parent 2 Email

Acknowledgement of Registration, Payment Policy, and Liability Waiver

I understand that tuition is non-refundable. I further hereby release Outcry Theatre staff, board, teachers, and volunteers, from any and all injuries. I, my heirs, and representatives agree to indemnify, save and hold harmless Outcry Theatre from any and all claims made by me, my youth, any other family member, or my insurer, for any injuries, or damages related to this event. I agree that Outcry Theatre has the right to use photos or videos of my youth for publicity purposes without payment to me or my youth. *

Yes