Kids Acting Camp Registration

Summer 2021

We are so excited to have you in class!
Please have a parent fill out the form below.

Parent/Guardian Information

Guardian's Name

First Name

Last Name

Phone

(###)

###

####

Email

Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Which camp are you registering your kid(s) for?

Who is attending?

Child 1

First Name

Last Name

Child 2 (optional)

First Name

Last Name

Child 3 (optional)

First Name

Last Name

Child 4 (optional)

First Name

Last Name

Additional Information

If you have a promo code or voucher, please enter that code here.

Debra will contact you to confirm your code/voucher.

Allergies/Needs

Emergency Contact Name

First Name

Last Name

Emergency Contact Phone Number

(###)

###

####

Disclaimer

Sherrill Actors Studio, its staff and instructors, are not responsible for any injury or damage that may occur while on the premises. This release includes, but is not limited to, physical injuries, illness, or unintentional exposure or harm due to COVID-19. In case of an accident or illness, Sherrill Actors Studio reserves the right to call upon the necessary services for assistance. I understand and have read the above information, and will agree to the terms set forth therein.

By selecting the "I Accept" button, you are signing this agreement electronically. You agree your electronic signature is the legal equivalent of your manual signature on this agreement.

I accept