Student Name *

First Name

Last Name

Gender *

Male

Female

Parent/Guardian Name *

First Name

Last Name

Parent/Guardian Phone *

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Additional Parent/Guardian Name *

First Name

Last Name

Additional Parent/Guardian Phone *

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How would you like to receive your camp confirmation? *

Email my camp confirmation to the email address listed below

Text my camp confirmation to the cell phone listed below

Phone

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Phone

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Emergency Contact Name *

First Name

Last Name

Emergency Contact Phone *

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Check Workshop/Summer Option(s) Student Is Enrolling *

😊Ages 3-4 Pre K Dance June 17-21 12:30-2pm $150

😊Ages 5-7 Musical Theatre June 17-21 10am-Noon $150

😊Ages 5-11 Hip Hop June 17-21 12:30-2pm $150

😊Ages 8-18 Shrek Jr. July 1-20 $400 (15% sibling discount)

😊Ages 8-18 Theatre June 17-21 M-F 10am-Noon $150

😊Ages 12-18 Improv June 17-21 M-F 12:30-2pm $150

😊Ages 12-18 Dance Intensive July 22-25 29-31 6-8pm $150

😊Ladies All Ages Tahitian/Hula Workshop June 25-27 5:30-7:30pm $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 that if I pay with cash, it is not traceable, and I am responsible for ensuring that APAC has received my payment. I understand that online payments and check are the preferred methods of payment as they are traceable. I understand that all payments are considered non-refundable beginning June 1, 2024.

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 Workshop/Summer Option I have registered myself or my student for that is detailed on the "WORKSHOPS & SUMMER AT APAC" page on the APAC website.