Quest Theatre

QUEST THEATRE – 2010/11 Summer Drama Camp
REGISTRATION FORM

Please provide the following information for our survey

* First name:
* Last name:
* E-Mail:
* Address 1:
* City:
* Province/State:
* Postal/Zip code:
* Phone number:		(xxx) xxx-xxxx
Cell Number:		(xxx) xxx-xxxx
Participant Age:
* Participant Birthdate:

	How did you hear about us? (Input Required)

	Parent/Guardian Name (First and Last)

	Participant's Name (First and Last)

Gender of Participant

Male

Female

	Any medical or behavioural conditions the instructor should know about?

Is your child registering with another camper?

Yes

	If your child is registering with another camper, what is the camper's name?

	Which camp would you like to register for?

	Camp Fee

	A Pizza lunch is offered every Friday at a cost of $6 per person per day. Please indicate whether your child will partake in pizza lunch

Pizza Choice

	Camp hours are from 9am-4pm with drop-off between 8:30-9:00 and pick-up between 4:00-4:30. We do offer before and after care from 8:00-8:30 and from 4:30-5:00 daily. The cost for this service is $5 per 1/2 hour. Please indicate whether you will require additional care for your child on any or all days of the camp.

	I would like to make a Tax Deductable donation to support the Quest Theatre Summer Camp program.

	Donation Amount:

	Select a payment method (Please note: if paying by credit card DO NOT include your card number here. A member of our staff will contact you by phone to confirm the total amount owing and to process your payment.)

CANCELLATION POLICY: Cancellation is permitted (less a $50.00 administration fee) provided notice is given no less than 7 days prior to the first day of class. No refund will be given with less than seven days notice unless a doctor's note is provided.

I have been advised that the camp location is a multi-user venue and therefore the camp is NOT a NUT FREE camp.

	I have read and understand Quest Theatre's cancellation policy as listed above and agree to the terms. (insert your name in the field below.)

I have read and understand Quest Theatre's cancellation policy as listed above and agree to the terms.

I Agree

	Todays date is:

Please provide the best number(s) to reach you at to confirm this registration.

Camp Location: Camp is held at 900 - 47th Avenue S.W.

Please note: Registration in a camp is guaranteed ONLY when payment is received in full. Minimum Enrollment: We reserve the right to cancel camps due to insufficient enrollment. In the event of a cancellation, full refunds will be provided. Quest Theatre Society Charitable # 119072163 RR 0001

	Which camp would you like to register for?