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Fall Break Arts Camp 2024 Registration and Request for Scholarship

Welcome to the Rising Youth Theatre Arts Camp! We are proud to be able to offer scholarships to ensure that our arts programming is accessible to all. If you would like to request a scholarship or sliding scale price, please fill out this registration form and we will be in touch as soon as possible. We review requests on a rolling basis and try very hard to accomodate all requests.

Before the first day of your young person's summer camp session, please complete the following two actions:

1. Review the Camp Parent/Guardian Policies and Information Packet here


2. Register your young person for camp by filling out the form below. In this form, confirm you've reviewed the Policies and Information Packet and share any important information about your young person so we are ready to have a great camp session. Please note that your young person cannot participate in any activities until this form is completed in full.

If you have any questions, please contact Camp and Classes Manager Ty Muhammad at: ty@risingyouththeatre.org 

Caregiver Information

Contact information for the adult responsible for this camper

*

Second Caregiver Information




Camper Information


If different than first name

(mm/dd/yyyy)


how your camper would like to be identified (for ex. he/him, they/them, she/her)

For example, an IEP at school, learning needs, medical information, etc.

If different than first name

(mm/dd/yyyy)


how your camper would like to be identified (for ex. he/him, they/them, she/her)

For example, an IEP at school, learning needs, medical information, etc.

If different than first name

(mm/dd/yyyy)


how your camper would like to be identified (for ex. he/him, they/them, she/her)

For example, an IEP at school, learning needs, medical information, etc.

Photo and Video Release

I authorize Rising Youth Theatre to document the process of work my young person is associated with as a part of Rising Youth Theatre’s Summer Arts Camp. Rising Youth Theatre will use photo and video in promoting this project, telling stories about the work of the Camp(s), marketing, archival, and publicity purposes. These photos and video will only be used in association with Rising Youth Theatre's organizational activities. Rising Youth Theatre will never sell images collected within a program.

If I do not comply, please write N/A and send an email to Ty@risingyouththeatre.org to confirm.

Waiver and Release

1. I understand that this is a multi arts experience. My young person may be trying new art forms for the first time. I will encourage my young person, in collaboration with Rising Youth Theatre (RYT) staff and instructors, to try all the class experiences, even if it is new. 2. I understand and take responsibility to ascertain that there is no medical reason to prevent my young person's participation in any arts related activities. I understand that physical activity does have inherent risks. I agree that RYTs directors, officers, representatives, owners, partners, employees, successors, instructors, and agents shall not be liable or responsible for any and all risk, damage, injury, or death which may occur as a result of (a) my child’s use of all amenities and equipment provided by RYT and/or (b) my slipping and/or falling while in the facility, or on other premises of RYT’s, including adjacent sidewalk areas. 3. I agree that RYT is not responsible for any loss of, or damage to my or my child’s personal property. 4. I expressly agree to release and discharge RYT’s subsidiaries, affiliates, directors, officers, representatives, owners, partners, employees, successors, instructors, and agents from any and all claims or causes of action that may arise and agree to voluntarily waive any right that I may otherwise have to bring a legal action against RYT for personal injury or property damage, except if arising out of the negligence or willful misconduct of RYT. To the extent that applicable laws do not prohibit release for ordinary negligence, this release applies to any ordinary negligence on the part of RYT, its agents, officers, directors, and employees. 5. I agree that I will not assert or maintain against Rising Youth Theatre, its successors, assigns, and licensees, a claim, action, suit, or demand of any kind or nature whatsoever, including but not limited to, those grounded upon invasion of privacy, rights of publicity or other civil rights, or for any other reason in connection with your authorized use of the photographs. I hereby release Rising Youth Theatre, its successors, assigns, and licensees from any and all such claims, actions, causes of action, suits, and demands whatsoever that I may now or hereafter have against Rising Youth Theatre.

Consent for Care

I give my consent for the above named child/children to receive emergency medical or dental treatment in the care of a physician and/or hospital or clinic. I understand that per RYT’s policies and procedures in the case of any life threatening or serious emergency, RYT and its staff will always call 911 first. I have received a copy of the arts camp information and policies and have read, understand, and agree to all content and policies.

If I do not comply, please write N/A and send an email to Ty@risingyouththeatre.org to confirm.

Other Important Info



Scholarship / Payment Information

Scholarship Type We work hard to honor all requests and we are usually able to accept all campers regardless of ability to pay! Please let us know what is best for your family, and we will be in touch as soon as possible. Requests are reviewed on a rolling basis

If there is anything else you'd like us to know regarding your scholarship request please tell us here!