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ENCORE! Performing Arts Academy Application

Please fill out the application form below to be considered for the Performing Arts Academy. There is not cost to attend. However, due to COVID-19, limited registrations will be accepted. DEADLINE TO APPLY IS JUNE 10th, 2020.

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Child's Name

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Age and Birthdate of Child

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PARENT'S NAME

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ADDRESS (Address, City, State and Zip)

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PHONE NUMBER

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Is this a home or cell number?

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EMAIL ADDRESS

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EMERGENCY CONTACT NAME

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EMERGENCY CONTACT INFO (Email and Phone)

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Past Theater Experience (List below any acting, singing, dancing, technical theatre, experience you have-you may include a resume or use the back of this form)

RESUME (Optional)

HEADSHOT/CURRENT PHOTO (Optional)

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Does your child have any allergies?

If "Yes" for Allergies, please list below. If no allergies, please put N/A.

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SPECIAL NOTICE: Drama students should bring water or a container for water. Lunch will be provided daily. Due to COVID-19, we are limiting the number of registrations we obtain. Registration deadline is by 5PM on June 10th. On June 11th, you will know if your child has earned a spot for the Camp. Please understand Camp Staff/Volunteers are not allowed to give out medication during camp. If your child takes medication, please make sure he/she has taken the medication prior to arriving at camp. Our Staff/Volunteers are not nurses or doctors and therefore can not give out medication.

This is your electronic signature to this question.

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CONSENT: I, the undersigned Parent or Guardian of this student, a minor, do hereby authorize the directors and teachers of HUG ME Ink as agents for the undersigned to consent to medical emergency treatment. I hereby release HUG ME Ink and its Board of Directors from any and all claims from personal injuries. I also consent that student’s photo or video may be taken and used for any purpose deemed necessary to promote HUG ME Ink’s education program without compensation.

This is your electronic signature to this question.