* Required fields
All programs are held at Parkdale Community Centre (3512 5 Ave. N.W.)
Option 1 - Summer Camp, ages 7-14 (Monday July 3 - Friday July 7, 2017) Discount = $250/player or Regular = $280/player Option 2 - Summer Camp, ages 7-14 (Monday July 10 - Friday July 14, 2017) Discount = $250/player or Regular = $280/player Option 3 - Summer Camp, ages 7-14 (Monday Aug. 21 - Friday Aug. 25, 2017) Discount = $250/player or Regular = $280/player Option 4 - Summer Camp, ages 7-14 (Monday Aug. 28 - Friday Sept. 1, 2017) Discount = $250/player or Regular = $280/player
In order to best serve your child and other participants, it is necessary that you inform us of all conditions. Does your child have any Allergies, Medical conditions, any Mental health or learning concerns? * Yes No
If yes, please specify:
Parent / Guardian Information
In case of emergency contact:
Additional adults who may pick up child from camp / class*
All information contained in this form will be kept confidential and not released to any other organization.
In order to receive a refund for withdrawal from a program, Theatre A Go-Go (hereafter referred to as T.A.G.G.) must be notified a minimum of one week prior to the commencement of program start date. After this, no refunds will be given. A $25.00 administration fee will be deducted from refund for withdrawal from program. Classes will not be prorated for participant absences. In the event that a program does not fill its minimum enrollment requirement, T.A.G.G. reserves the right to cancel the program up to the week prior to commencement and a full refund will be returned.
I hereby grant Theatre A Go-Go permission to use photographic/video images taken of myself, or my dependents in connection with Theatre A Go-Go for marketing, promotion and fund development purposes. Theatre A Go-Go shall have all rights and interests to the images and the copyrights thereto, free and clear of all encumbrances.
Consent and Liability
I understand and concur that my child is fully capable of participating in programs with T.A.G.G. and that the choice to participate brings with it the assumption of those risks that may be associated with these activities such as: tripping, falling, banging into things and falling off the stage. I agree to hold harmless and hereby waive, release and forever discharge Theatre A Go-Go and the facility utilized, their trustees, officers, directors, employees, independent contractors and volunteers from all financial liability connected with providing facilities for the activities and from all claims for damages, injury or loss of person or property which may be sustained or occur before, during or after participation of my child in the activities on the premises utilized by Theatre A Go-Go. In the event of injury or illness, Theatre A Go-Go has my permission to seek any emergency medical treatment deemed necessary for my child.
Pre and post care (Applies to camps only)
Please select from options below if you need child care.
Must be booked at time of registration and may be paid on the first day of camp
Single player = $6 for either pre or post care /day – or $10 for both pre and post care/day
Multiple family members = $3 for either pre or post care/player/day - or $5 for both pre and post care/player/day
Monday (8:00-9:00am) Tuesday (8:00-9:00am) Wednesday (8:00-9:00am) Thursday (8:00-9:00am) Friday (8:00-9:00am)
Monday (4:00-5:00pm) Tuesday (4:00-5:00pm) Wednesday (4:00-5:00pm) Thursday (4:00-5:00pm)
How did you hear about us?*
Payment holds your spot in the Class/Camp and is to be submitted with registration. You may either pay with a Credit Card or ETransfer. Please note that if you pay with Credit Card, you will be charged an extra $10 service fee, per registration. Please let us know how you would like to submit payment. * Credit Card ETransfer
You will receive further direction for payment after submitting this form.
I* (Name of registrant) have read and understand the terms of registration and payment for these classes.