Registration Thank you for your interest in the summer camp for 2017. Camp week will be June 26 – 30th with a performance of Jack and the Beanstalk on July 1st at 3:00 p.m. Registration will open March 1, 2017 Camp Registration 2017 Complete the form below to enroll your child in this year's Summer Theater Camp! When you click submit after completing the form, you will be redirected to the secure payment form. Please note: Both steps must be completed to insure your camper is registered. 2017 Summer Camp RegistrationJune 26 - July 1, 2017 $150.00 per camper Camp registration begins March 1, 2017 **Grades 1st - 12thCamper Name* First Last Male or Female?MaleFemalePlease select the age of the camper:*Space for the "Jack and The Beanstalk" Summer Camp is limited to 60 campers and is $150 per camper for the week and includes two complimentary tickets to the Saturday performance. Entering 1st Grade to Age 7Ages 8-12Ages 13-18Assistant Directors (Ages 12-18)Camper's Date of Birth* Parent's Name* First Last Home Phone*Cell PhoneEmail* Address Street Address Address Line 2 City AlabamaAlaskaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Medical Information and InsuranceMedical Info*Please list any allergies; medical treatment, special dietary needs, or behavioral concerns that Festival Hall Staff/ Counselors need to know in order to ensure your child has a pleasant camp experience. You may also include medication and dosage that should be administered. If none are present- please type in N/A. Insurance Company*Policy #*Group #*Insurance Phone Number*Permission InformationI hereby give permission for my child to participate in any and all aspects of the Festival Hall Missoula Children’s Theatre Camp. I understand that these activities may include certain risks and I assume these risks. I authorize Festival Hall staff/ counselors to administer the medications I listed on the medical information section. I authorize Festival Hall staff/ counselors to use my child's photo or likeness in promotional materials, which may be distributed to the general public. I understand that this is a camp centered on the arts. I understand that I provide primary insurance coverage for my child and am financially responsible for the medical treatment of my child. I am financially responsible for my child’s willful or accidental destruction of camp property, furnishing, or other’s belongings. I understand that attendance for the entirety of the camp is required as other campers are dependent on my child’s attendance in order to be prepared for the performance. I also understand that it is my responsibility to provide lunch for my child daily during the camp. Please Type Your Full Name.*By "signing" below you are acknowledging and agreeing to give permission to your child to participate in the 2017 production of Jack and The Beanstalk presented by Festival Hall, Greensboro GA. This is considered to be a Digital Signature, and is required. Please type your name in the box below to give consent. Human Check*We just want campers, not bots 🙂 Please select "Yes, I am a human" from the dropdown list belowYes, I am a HumanPlease Be Advised:Registration is not complete until your $150 camp fee is received. Click “SUBMIT” below to complete registration and pay online through our secure checkout.