Summer Theatre Registration Form

Please fill out the registration form below. A $200 deposit is required upon registration to reserve a spot. The remaining balance is due one week before the start of the session.

If you have any questions regarding this form, please contact us at 203-793-7383 or squarefoottheatre@gmail.com

POLICIES AND PROCEDURES

1. The Summer Theatre Program will be held 9:00am-1:00pm, Monday-Friday. Children can be dropped off as early as 8:30am.

2. Program fees are $600 if registered before April 15th and $650 if registered after April 15th. In order to save a spot in the program, a $200 non-refundable deposit is required. The remaining balance must be made one week prior to the start of the session.

3. Parents/Guardians must COME INSIDE to pick up their child. No child will be allowed to leave the program with anyone other than those listed on his/her registration form. If someone that is not listed on the form is picking up your child, please send your child in with a note stating so.

4. Actors must bring their lunch and drinks daily.

5. Actors must dress appropriately for the theatre program. NO skirts, sandals or flip-flops.

6. We ask that actors not use cellphones or other electronics during the theatre program as it serves as a distraction. The Square Foot Theatre is not responsible for lost personal items brought to the program.

7. Theatre program staff is not allowed to dispense any medication to actors, except basic first aid. The actor is responsible for taking his/her own medicine. Parent/Guardian must notify the Program Director of children that need to take medicine during program hours.

8. In case of an emergency, parents and/or emergency contact will be notified. However The Square Foot Theatre is not responsible for notifying appropriate guardian due to insufficient or inaccurate information on registration form. If any information changes at any point, it is the parent/guardian’s responsibility to notify the staff.

9. The Square Foot Theatre considers attending the summer theatre program a privilege and will not allow unruly or disruptive behavior from any of its actors. SFT strives to provide a respectful environment where actors of varying levels of experience are able to perform together and help one another grow and improve their skills. Any kind of bullying or disrespectful behavior towards fellow cast members and/or staff will not be tolerated. If any child becomes a discipline problem, he/she may be subject to suspension and/or expulsion from the theatre program.

Participant Name

First Name

Last Name

Date of Birth

YYYY

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Parent/Guardian

First Name

Last Name

Email Address

Primary Phone

(###)

###

####

Secondary Phone

(###)

###

####

Emergency Contact

First Name

Last Name

Emergency Contact Phone

(###)

###

####

Emergency Contact Relationship

Physical Disabilities/Allergies/Heath/ Behavioral Problems

Is your child currently taking any medication that would be administered during program hours?(Including oral antihistamine, epi-pen, inhaler or other)

Yes

Please list any person, other than parents and emergency contact, who has permission to pick your child up from the theatre program. Please list name, phone number and relationship.

Is there anything else we should know about your child?

Please type your name below acknowledging that you have read and understand the statement below as well as the policies and procedures stated above. (This will serve as your electronic signature)

I, the undersigned individual and as a parent or guardian of the above named child, agree that I have read the polices and procedures outlined above and understand that failure to adhere to these policies can result in my child’s expulsion from the program without a refund. I also do hereby agree to waive, release, and hold harmless The Square Foot Theatre Company, Inc. and its respective officers, directors, agents, insurers and employees from any and all causes of action including personal injury and property damage. I give permission for photos of me and/or my child and other information related to the program to be published for advertising purposes related to The Square Foot Theatre Company. I also understand that there are no refunds of payments made for the program.

Date

YYYY