Rising Stars Singing Camp
2010
Registration Form
How exciting that your child wants to be part of our camp!
He or she must want to be a "Rising Star" Singer!
Please read the information carefully and contact us if you have any
questions at (425) 778-5394 or email
Print out the pages below and scan and email them to me or send to my address.
And indicate which session your child is signing up for: _____________
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Session
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Location
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Date
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Theme
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#1
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The Phoenix Theatre -
9673 Firdale Ave Edmonds, WA 98020
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June 28 - July 2
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Musical Theater
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#2
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The Phoenix Theatre
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July 5 - 9
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Camp Pop
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#3
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The Phoenix Theatre
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August 16 - 20
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Kid's Choice
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Student name(s) ____________________________________ Age ____________
Parent name __________________________________________________
Address: ___________________________________________________________
Email: ______________________
Song choice _________________________________________________________
To reserve your spot, please contact us at least 2 weeks prior to the start date of the camp.
Each session is $145 for the week. Price includes snack, supplies and music for the week.
Payment and registration forms may be brought first day or camp or:
Mail check and registration forms to:
NW Vocal Arts, 22430 87th Ave W., Edmonds, WA 98026
We will hold a performance on the last day at 11:00 am.
Family and friends are welcome and encouraged to attend.
Feel free to bring a camera or video recorder.
Rising Stars Camp Information:
- Please have your camper arrive at least 5 - 10 minutes prior to the start time of camp.
- Please make sure your child is rested and fed. If he or she needs a snack, they are welcome to bring one.
- Your child should plan to dress for movement. No flip flops, high heels or loose shoes.
- If your child has an extreme sensitive or allergy, please let me know that as soon as possible.
We will not limit exposure to nuts or other foods unless we know that is necessary.
- Plan to pick up your child no later than 12:10 p.m. each day.
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EMERGENCY CONTACT INFORMATION,
MEDICAL AUTHORIZATION AND RELEASE AGREEMENT
I , ______________________________, the parent/legal guardian of ___________________________,
(Print your first and last name) (Print child’s first and last name)
consent to my child’s participation in the Rising Stars Singing Camp. In an emergency I can be reached at the numbers listed below. In the event that I cannot be reached, I authorize NW Vocal Arts staff or volunteers to authorize or refuse necessary emergency treatment for my child.
I further agree to indemnify, protect and hold harmless Malya Muth and NW Vocal Arts, the Phoenix Theater and all other persons or organizations volunteering services without charge to supervise from any claim or liability whatsoever, including, but not limited to personal injury, property damage, court costs, attorney’s fees and interest, however caused, even if caused by the negligence of staff or volunteers, as a result of my child’s participation.
Emergency Contact Numbers:
Call 1st: ________________ ( )__________ - _________________ ext. .
(e.g. “Mom’s cell phone” or “Dad at work”)
Call 2nd: ________________ ( )__________ - _________________ ext. .
Alternate Emergency Contact Person’s Name_____________________________
Relationship to child_________________________________________________
Call ( )__________ - _________________ ext. .
__________________________________________________
Parent/Guardian Signature Date
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