Perseverance Theatre STAR 2022 Student Registration

Parent/Guardian First Name *

Parent/Guardian Last Name *

Address *

Address 2

City *

State/Province *

Zip/Postal Code *

Parent/Guardian Phone *

Parent/Guardian Email Address *

Preferred way to be contacted *

Phone

Email

Any

STUDENT INFORMATION

This summer, we welcome students back to the Main Stage for Perseverance Theatre’s 2022 Summer Theatre Arts Rendesvouz (STAR) Summer Camp. Join us on Douglas from July 18th through August 6th for workshops, games, and the premiere of an ORIGINAL WORK for young artists.

This year’s STAR Program will take place Monday through Friday, from 9AM until 4:00 PM. Check-In and Morning Drop-Off will begin at 8:30AM.

HALF-DAY CAMP (Students Ages 7 - 11 released at Noon) - $150

FULL-DAY CAMP (Students Ages 12 - 18 released at 4:00 PM) - $350

Lunch will take place at Noon, daily. Perseverance Theatre will provide lunch for all students 7 and up at no additional charge, though parents are welcome to opt-out. All students are given an hour for lunch, and are required to remain on Perseverance Theatre facilities unless written permission is provided by a parent or guardian. Parents and guardians of students ages 7 to 11 must pick up their child no later than 12:30 PM. Students ages 7 to 11 are welcome to enjoy lunch with other campers, but must be picked up no later than 12:30 PM.

Upon completion of registration, parents and guardians will be sent a full camp schedule and information packet via email.

Student First Name *

Student Last Name *

Student Age *

Grade Entering for 22-23 School Year *

Be prepared to present proof of vaccination status in the form of a vaccine card or photo upon arrival to Perseverance Theatre on the first day of camp. Masks are required to be worn at all times within Perseverance Theatre facilities, with the exception of performers on the Main Stage during the performance. This requirement is made in accordance with our COVID-19 Mitigation Plan developed with the City and Borough of Juneau. If you have any questions, please email frankd@ptalaska.org

Student's COVID-19 Vaccination Status? *

Yes, and boosted

Yes

No

Does your student require any daily medications? (We will contact parents directly to discuss wellness and safety) *

Yes

No

Does your student have any dietary needs? *

Does your student have any allergies? *

Camper Group *

Half Day (Ages 7 - 11, 9:00 AM - 12:00 PM)

Full Day (Ages 12 - 18 , 9:00 AM - 4:00 PM

Are you interested in learning more about scholarship opportunities

Yes

No

Does your student identify as Alaska Native?

Yes

No

If you answered yes, are you interested in receiving a partial or full scholarship for attendance, courtesy of our community partners?

Yes

No

Terms and Conditions *

You consent to receive communications from us electronically. We will communicate with you by e-mail or phone. You agree that all agreements, notices, disclosures and other communications that we provide to you electronically satisfy any legal requirement that such communications be in writing.

You understand that the information shared in this registration form is private, and will not be sold, manipulated, or shared in any public forum.

You understand that Perseverance Theatre will only contact you in relation to our educational programming, including STAR, and will not send spam mail or other offers for solicitation.

Please sign *

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