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Welcome to

Andy's Summer Playhouse!

We're looking forward to working with you in The Digital Renaissance Project! To enroll, you must be between 8 and 18 years old, and a parent or guardian needs to acknowledge that you will be participating.

There is a one-time registration fee of $50, which gives you total access to all activities in the Project. We understand that this is an unusual time for many families, so if you need help covering the fee, we can help! Please complete the registration form and follow the instructions in the payment section.

If you have additional questions, email us at info@andyssummerplayhouse.org.

Participant Information
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First Name
Last Name
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(mm/dd/yyyy)
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Enter the year you started at Andy's.

Do you want to enroll another participant with the same home address? You may enroll up to three participants at a time.
Participant #2 Information
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First Name
Last Name
*


*

(mm/dd/yyyy)



Enter the year you started at Andy's.
Do you want to add another participant with the same home address?
Participant #3 Information
*

First Name
Last Name
*


*

(mm/dd/yyyy)



Enter the year you started at Andy's.
Family Information
Please provide name and contact information for at least one parent or guardian living with all the youth enrolled on this form.
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First Name
Last Name


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*

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Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code

First Name
Last Name




Do you need to enter a different home address for Parent/Guardian #2?

Address Line 1
Address Line 2
City
State/Province
ZIP/Postal Code
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Please provide up to three names and phone numbers to be contacted in the case of emergency.
Parent/Guardian Acknowledgement

By initialing below, I acknowledge that I am enrolling all of the children listed on this form in Andy's Summer Playhouse 2020 program, The Digital Renaissance Project. I understand that there is an enrollment fee of $50 per child due at the time of registration. If I am unable to pay the fee at this time, I will contact Andy's using the comment box on this form.

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Photo/Video Release

By initialing below, I hereby grant Andy’s Summer Playhouse permission to take photographs and videos of all participant(s) named on this form. I acknowledge that these photos and videos will be used for promotional purposes and will be made available online to the public through The Digital Renaissance Project. 

If I do not grant permission by initialing below, I understand that the child/children that are enrolled through this form will only be able to partipate in a limited number of activities that do not involve recording the children's activities. 

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Calculate the Enrollment Fee
The cost to enroll is $50 for each youth/teen. If you are a CAST Team member, do NOT check the payment box below. Instead, use the comments box to let us know that you are a CAST Team member. If you requesting assistance to cover the registration fee, do NOT check the payment box. Instead, use the comments box to help us understand your financial situation.
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