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 Header & Company Info - Theatre Camp in Denver Coloado

YouTube (561) 962-1570

Email: Contact@Rmctonline.com

In Boca Raton, FL since 2013

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ENROLL in our AWESOME SUMMER Theatre Camp 2024: Little Mermaid & Legally Blonde

HERE

Exceptional, Extraordinary Training for the Young Actor

 

 
 
Theatre Summer Camp, Kids Acting Class| Boca Raton, FL
Rocky Mountain Conservatory Theatre

        COME AND MEET US AT OUR OPEN HOUSE!

SATURDAY APRIL 20, 2024 AT NOON!  

to HEAR MORE ABOUT OUR

FUN THEATRE SUMMER THEATRE CAMP 2024!

LOCATION:

@ Boca Universal Stage, UUFBR

2601 St. Andrews Blvd. Boca Raton, FL 33434

Email: Contact@Rmctonline.com


__________________________________________________________________

REGISTRATION FORM FOR THEATER SUMMER CAMP

PLEASE COMPLETE THIS FORM AND

RETURN IT TO Contact@rmctonline.com
 

1.    STUDENT’S NAME #1: _________________________________________________________

 

2.    STUDENT’S NAME #2: _________________________________________________________

 

3.    AGE: _______ BIRTHDAY: _______/_______/____________ GRADE FALL: __

 

4.    PARENT/GUARDIAN NAMES: __________________________________________________

            ________________________________________________________________

 

5.    ADDRESS: _______________________________________________________________

            ________________________________________________________________

 

6.    PHONE: ____________________________________

 

7.    EMAIL: ______________________________________

 

8.    EMERGENCY CONTACT NAME: ________________________________________________
PHONE: ____________________________________

 

9.    PHYSICIAN: ________________________________________________________________
PHONE: ____________________________________

 

10. ACTIVITY RESTRICTIONS: _______________________________________________________________

           

11. MEDICAL ISSUES/CONDITIONS: _______________________________________________________

 

12. ALLERGIES/DIETARY RESTRICTIONS: ______________________________________________________

            ________________________________________________________________

 

13. List all medications your child is taking now: __________________________________

 

14. Child’s Health Insurance and Policy number: ______________________________________________________

          

MEDICAL RELEASE FORM
 

In case of a medical emergency, we must have your written permission to seek immediate medical attention for your child.

 

I assume all risks and hazards incidental to participating, and do hereby waive, release, absolve, indemnify, and agree to hold harmless Rocky Mountain Conservatory Theatre, their staff, volunteers, program location venue, and any sponsoring agency for any claim arising out of loss or injury that the participant might sustain while engaged in this program. I understand that insurance is not provided and that none of the sponsoring agencies are responsible for the medical condition of the participant in the space provided above.

I give permission to the authorized RMCT personnel to administer medication to my child if it is deemed necessary in any circumstances. In the event that I cannot be reached in an emergency, I give permission to the physician selected by the RMCT Directors to hospitalize and secure proper measures of treatment for the child named above. Medical bills will be the responsibility of the parent or guardian named above.

The information above in this release is correct and my child has permission to take part of all RMCT youth theater activities.

 

Parent or Legal Guardian (Print Name): ______________________________________________

Parent or Legal Guardian (SIGNATURE): ______________________________________________

Date signed: ______________________________________

RMCT PROGRAMS: PARENTAL PERMISSION AND LIABILITY RELEASE FORM

I, _____________________________________, (parent’s name) as parent/ legal guardian of __________________________, (child’s name) hereby give my consent for participation in programs with Rocky Mountain Conservatory Theatre (RMCT). I assume all risks and hazards incidental to participating, and do hereby waive, release, absolve, indemnify, and agree to hold harmless Rocky Mountain Conservatory Theatre (RMCT), their staff, volunteers, program location venue, and any sponsoring agency for any claim arising out of loss or injury that the participant might sustain while engaged in this program. I understand that insurance is not provided and that none of the sponsoring agencies / lessees / lessors are responsible for the medical condition of the participant listed in the space provided above.

In the event that I cannot be reached in an emergency, I give permission to the physician selected by RMCT to hospitalize and secure proper measures of treatment for the child named above. Medical bills will be the responsibility of the parent or guardian named above. If my child has an allergy or medical condition, I understand that I must provide any specific written details and/or medications to RMCT prior to their first day of participation, and if I fail to do so, my child will not have access to them.

I give Rocky Mountain Conservatory Theatre permission to use photographs or video footage taken of my child participating in class activities for any advertising, brochures, website, news releases, or any other media to promote or advertise future programs.

Rules for students are the same for everyone without regard to race, color, national origin, gender, or disability. I understand that all students will be treated as individuals and respect will be shown for a range of abilities and behaviors.

The student agrees to abide by the rules and regulations set by the Directors for the health, safety, and welfare of everyone.

Parent or Legal Guardian (Print Name): ______________________________________________

Parent or Legal Guardian (SIGNATURE): ______________________________________________

Date signed: ______________________________________

COVID-19 PUBLIC HEALTH ACKNOWLEDGMENT AND DISCLOSURE

I understand that during the COVID-19 pandemic, I will need to respect the procedures in place for the safety of all persons present in our facility. I understand that to participate in all RMCT Theatre Program, my child must be free from COVID-19 symptoms. If at any time during my child’s attendance any of the COVID-19 symptoms appear, my child will need to return home as soon as possible

 

Parent or Legal Guardian (Print Name): ______________________________________________

Parent or Legal Guardian (SIGNATURE): ______________________________________________

Date signed: ______________________________________

DEPOSIT TO RESERVE YOUR SPOT
 

A deposit of $250 is needed to reserve your spot and is payable either by:

-1- CHECK

-2- CREDIT CARD/PAYPAL on our website at: https://www.youthactors.com/account-payments.html

ANY QUESTIONS?


-       CALL US:       Boca Raton, FL  (561) 962-1570

-       EMAIL US:     contact@RMCTonline.com

-       MAILING ADDRESS: RMCT/Rocky Mountain Conservatory Theatre, 170 NE 2ND Street, Suite 1806, Boca Raton, FL 33432

Sincerely,


Anthony Hubert and staff
Founder and Artistic Director
Rocky Mountain Conservatory Theater