| Summer Theater Camp 2008 REGISTRATION FORM To Register for a Camp Fill out this form and Mail it to: Oakland Theatre Guild Camps PO Box 7604 Bloomfield Hills, Michigan, 48302 Make Checks payable to: Oakland Theatre Guild Mail this form to the above address by May 15, 2008. There will be a $50.00 charge per class for late registrations. The Starlight Theater is located inside the Summit Place Mall (between Kohl’s and Claire’s), on the corner of Telegraph and Elizabeth Lake Roads. Call 248-335-1788 with questions. Student Name______________________________________________________________Age______________ Camp Name________________________________________________________________ Fee ____________ Parent’s Name ______________________________________________________________________________ Street Address______________________________________________________________________________ City ______________________________________________________ State _____ Zip Code _______________ Home Phone ___________________ Work Phone __________________ Cell Phone __________________ Email address____________________________________________________________________________ Medical problems________________________________________________________________________ _________________________________________________________________________________________ Release: I hereby assume all responsibility for myself and/or my children while participating in activities at Starlight Theater. I waive all claims for liability against Starlight Theater or any of it’s employees or instructors in case of injury. I am the parent or Legal guardian of the above named person. Signature ______________________________________________ Date ____________________________ |
