Shakespeare Teen Company Sign-Up

Fields marked with an * are required

Caregiver First Name *

Caregiver Last Name *

Email *

Phone Number *

Student 1 - Name *

Student 1 - Date of Birth *

Student 1 - Grade Level Fall 2023 *

Does your student(s) have any allergies or other health concerns that our education staff should be aware of? If so, please list them below.

Anything else you would like for us to know about your student?

Allow Portland Stage to use my child's photo, video or audio.

Release Part 1 *

I understand these activities may include certain risks including, but in no way limited to: (1) moderate & severe personal injury, (2) property damage, (3) disability, (4) death, & (5) sickness or disease including, without limitation, COVID-19.

Release Part 2 *

I specifically release Education, its owners, directors, employees, & volunteers from any claim of any kind arising from my students participation in the Education program.

Behavior Policy *

BEHAVIOR POLICY: We are committed to working with students, parents, and guardians to ensure everyone has a positive experience at Portland Stage. Each student is expected to engage with others in a safe and respectful manner to help everyone achieve the best possible experience. If our Teaching Artists or Staff have a concern regarding a camperâs behavior, our policy is: 1. Teachers/Staff will redirect the student to more appropriate behavior. 2. If inappropriate behavior continues, the student will be reminded of the camp expectations and behavior guidelines. Together, the student & teachers/staff will decide on action steps to correct the behavior. 3. If disruptive behavior continues and/or is affecting the safety or well-being of others, Education staff will contact the parents or guardians. 4. If inappropriate behavior continues, as a final action step, the student may be dismissed from camp. (Please note â Student fees are non-refundable if a student is sent home for disciplinary reasons). I have read and agree to the Behavioral Dismissal policy. If you have any questions, please contact education@portlandstage.org

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