a summer musical theatre camp

JULY 17-21, 2017 Kindergarten - 5th Grade (Completed) 8:00 a.m. - 11:00 p.m.

$65 PER CAMPER *non-refundable

*Where: Helena High School Auditorium *Park & Enter: Right side parking lot (follow signs) *What to Wear: gym shorts tennis shoes t-shirt Register by June 23rd. Registration received after the deadline will still be accepted, but may not receive a camp T-shirt.

Camp Includes

Camp T-Shirt Daily Snack

Contact: Jefferson Casey (205) 682-3669 [email protected] Cissy Johnson (205) 682-3674 [email protected]

SUBMIT REGISTRATION BELOW Center Stage Camp Registration Information

Name Grade just completed Age Address Phone Parent’s Name Person to notify in case of emergency Emergency Phone Email Address Insurance Provider Is there a friend the camper would like to be in the same group with? Name How did you hear about camp? (circle one) Website Listserv School Notice HHS Choir T-Shirt size: (circle one)

HHS Theatre Other NAME

NAME

YS YM YL S M L XL Medical Release

I hereby release Helena High School and all its employees from all claims because of injuries, which may be sustained while my child attends the Center Stage Camp. I agree to indemnify Helena High School from any claims in which may hereafter be presented by minor child as a result of and such injuries. I give permission to Helena personnel to administer first-aid and adequate medical care in the event of any injury or illness.

Parent or Guardian Signature Make checks payable to: Helena High School Helena HIGH SCHOOL Attn. MUSIC THEATRE CAMP 1310 Hillsboro Pkwy Helena, al 35080

Date