Teen Theatre Camp 2019 Registration

The theme for this year’s incredibly popular camp will be created by the campers themselves, an ensemble created show drawn from participants’ own personal life stories and social issues based on the theme of "Strangers in a Strange Land."  Limited to 20 campers.

*First Name
*Last Name
*Address 1
*Camper's Age
*Teen Theatre Camp
Teen Theatre Camp Deposit ($150)
Teen Theatre Camp ($400 if paid in full before June 1; $450 after June 1) ($400) 20 available
Teen Theatre Camp ($400 if paid in full before June 1; $450 after June 1): There are only 20 available
*Primary Parent Contact
*Email Address
*Cell # or Work #
*Secondary Parent Contact
*Email Address
*Cell # or Work #
*Are all immunizations required to attend public schools up-to-date?
List any food allergies
Bee Sting Allergy?
Please indicate appropriate treatment
List any conditions which may limit camper's participation or which the NHTP Staff should be made aware of
Anything else you would like the staff to know about your child
*How would you like to receive mailings from NHTP? Check all that apply.
Email Only
Snail Mail Only
Both Email & Snail Mail
Parental Permission (Please answer 'Yes' or 'No')
*My child is allowed to leave the premises of NHTP unsupervised during camp hours (lunch break) or at the end of the day:
*My child will be driving his/her own vehicle:
*My child is allowed to ride with other student drivers:
*I understand that NHTP staff is NOT responsible for my child for more than 15 minutes prior to or 15 mintes after camp:
*Permission for reproduction of photographic/video images. Please sign and date this registration. An electronic signature for this form is acceptable.

The parent or legal guardian acting on behalf of the minor grants New Hampshire Theatre Project (“NHTP”) the right to reproduce the videography and photographic images of the above named minor.

This authorization is intended to grant to NHTP the irrevocable right to use such photographs and video for reproduction in any medium including but not limited to print and electronic (e.g. Internet). I understand that the images(s) may be used, without compensation to me, in promotional materials for NHTP, including, without limitation, brochures, posters, and web display. I hereby waive any and all rights I may have to inspect or approve any of the finished or unfinished photographs, videotapes or other means of reproduction referred to herein, so long as the use is for a lawful purpose.

I release, discharge, and agree to hold harmless and defend NHTP and all persons acting under NHTP's authority from any liability in connection with the making and use of such photographic or video images, including without limitation any claims for violation of any right of publicity or privacy. I hereby warrant that I have read the above authorization prior to its execution, and I am fully familiar with the contents of it. This authorization shall be binding upon me and my heirs, legal representatives, and assigns.

*If I am late picking up my child, I understand additional fees will be charged:
Please note: Deposits are not refundable after June 1, 2019. Tuition balances are not refundable within 10 business days of the camp opening.
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