TEXT CAMP CONFIRMATION, INFORMATION, AND DETAILS TO THE FOLLOWING CELL NUMBER

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Student Name *

First Name

Last Name

Student Date of Birth *

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DD

YYYY

Parent/Guardian *

First Name

Last Name

Parent/Guardian Phone *

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Additional Parent/Guardian *

First Name

Last Name

Additional Parent/Guardian Phone *

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

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Camps and Summer Programs *

SELECT OPTION(S)

😊Ages 3-5yrs One-Week Performing Arts Camp $100

😊Ages 5-12yrs One-Week Performing Arts Camp $125

😊Ages 12-18yrs One-Week Performing Arts Camp $150

😊Ages 8-18yrs Three-Week Production Camp - Seussical Jr. $400 *15% Sibling Discount

😊Ages 12-18yrs June Dance Intensive Camp $150

😊Ages 12-18yrs July Dance Intensive Camp $150

😊Ladies Of All Ages Tahitian Dance & Hula Workshop $50 Per Person, $75 Family Pair

Photo/Video Permission *

I give permission for myself or my student to be photographed and/or videotaped during camp and/or performances. I understand that APAC retains full ownership and copyright of all photos/videos and has the irrevocable right to use any such image in all marketing.

Payment Method *

I understand cash payments are not traceable, and I'm responsible for ensuring APAC has received my payment. I understand online payments/checks are preferred methods of payment as they are traceable. I understand all payments are non-refundable beginning June 1, 2025.

Accident Responsibility *

I acknowledge that APAC, its staff, and Board of Directors are not responsible for any accidents that may occur in and around the premises of its studio location and/or rehearsal and performance locations.

Parent/Guardian Agreement and Understanding *

I have read through and understand all of the information and requirements for the Camp/Workshop I have registered myself or my student for that is detailed on the "CAMP/WORKSHOP" page on the APAC website.