Musical Theatre Summer Intensive Registration Form, Summer 2010
Please mail the completed application, along with payment, to Clear Space Productions, Inc., P.O Box 304, Rehoboth Beach, Delaware 19971, 302.644.3810. After the completed application is received, a confirmation email and/or letter will be sent.
PROGRAM (Please check all that apply.)
_____Musical Theatre Intensive ______Acting Intensive
General Information
Student First Name
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Parent Name (If Student under 18 years of age)
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Mailing Address
Email Address
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Online (please specify our site or other) |
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Cape Gazette | |
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School | |
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Other (please specify) | |
MEDICAL CONDITIONS
Does above names student have any medical conditions, about which the MTSI staff should be made aware?
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Yes |
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No |
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If yes, please describe and attach any additional information:
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T-SHIRT ORDER What size T-shirt does your child wear? (Please circle one.) |
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Child Size: |
Extra Small | Small | Medium | Large |
| Adult Size: | Small | Medium | Large | Extra Large |
STUDENT PERFORMANCE TICKETS
Musical Theatre Intensive: You will receive two complimentary tickets for one of the student performances (12:00 noon or 1:30 pm) on Thursday, July 1.
Please circle your performance choice: 12:00 noon 1:30 pm
Acting Intensive: You will receive two complimentary tickets for the student performance at 4 pm on Friday, July 9.
STAGE STRUCK PICNIC AND FACULTY PERFORMANCE
All students receive one free ticket to STAGE STRUCK, which will take place on Wednesday, June 30. This special event begins with an after-camp picnic at 4:30 followed by a faculty performance at 6:00 p.m. Parents are welcomed to attend the picnic and performance (which is anticipated at being very well-attended). Tickets (picnic and show) are $25.00 and must be purchased in advance by Monday, June 28.
PHOTOGRAPHY/VIDEOGRAPHY POLICY
Clear Space Productions has a policy of no photography or videography during performances out of respect to the performers and other audience members. You may take photographs and/or videotape any rehearsal period from 3:20-4:20. Available this year will be a highlight Videotape/DVD of all students in class throughout the two weeks of the program, and the entire final performance on July 1. Order forms to purchase the videotape/DVD will be available at registration.
STUDENT GROUPS
Is there a student attending the Intensive who should be considered as a group “buddy” for your child? This request may be factored into the final group placement, although it cannot be guaranteed. If so, please list their name(s) below:
Since the inception of the Musical Theatre Summer intensive arts program, no student has ever been injured in any way. Nevertheless, the following "Waiver of Responsibility" is required by our liability insurance carrier.
WAIVER OF RESPONSIBILITY
I, ______________________________________________________________ as legal guardian of (print clearly) ________________________________________________________________ (name of student) (print clearly) aged ___________ do hereby exempt, and release Clear Space Productions, Inc., the entire Board of Directors and any affiliates, from all liability or responsibility whatsoever for injury to the person and/or personal property of the above-named student, however caused, including but not limited to the negligence of the released parties, whether passive or active, or for any injuries due to any problems/defects with the training, rehearsal and/or performance facilities and equipment, including but not limited to any hidden defects in such facilities or equipment.
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PAYMENT |
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| Tuition (Musical Theatre Intensive: $450, Acting Intensive: $200) |
$ ________ |
| ____ Additional Student Performance Tickets @ $5 | $ ________ |
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____ Additional STAGE STRUCK Picnic/Faculty Performance Tickets @ $25 |
$ ________ |
| TOTAL ENCLOSED | $ ________ |
If you have questions please call Clear Space Productions at 302.644.3810.