Summer Drama Camps Registration

REGISTER FOR SUMMER DRAMA CAMPS!

Please FILL OUT the online registration form below.

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Pay online: Return to this page after submitting your registration form. Click the Submit Payment button to pay with Square.

Pay by check, cash or money order: Please PRINT YOUR REGISTRATION FORM and remit, along with payment, to Looking for Lilith Theatre,  312 Crescent Ct., Louisville, KY 40206.

A limited number of scholarships may be available. Please contact Jennifer Thalman Kepler, Co-Artistic Director, at (502) 638-2559 or jennifer@lookingforlilith.org.

 

Please register each child separately.
Summer Drama Camp Registration Form
* indicates required field



PARENT/GUARDIAN INFORMATION (Información para los Padres)

CHILD'S INFORMATION (La información del niño)

EMERGENCY CONTACTS (Información de Contacto de Emergencia)

Contact #1

Contact #2

ELECTRONIC SIGNATURE

In the event of an emergency or non-emergency situation requiring medical treatment, I hereby grant permission for any and all medical attention to be administered to my child/children, in the event of an accidental injury or illness, until such time as I can be contacted. (En caso de una situación de emergencia o no crítica que requiere el tratamiento médico, por este medio concedo a permiso para cualquiera y toda la asistencia médica ser administrado a mi niño/niños, en caso de una herida casual o enfermedad, hasta cuando puedan ponérseme en contacto.)


Photo Consent: I give permission for photographs/video of my child/children to be taken during their participation in this program, to be used in any Looking for Lilith publicity materials, including website. (Doy permiso para las fotos/video de mi niño/s que se deben tomar durante su participación en este programa, para ser utilizado en cualquier Looking for Lilith materiales de publicidad, incluso en el sitio internet.)