Gamut Theatre Summer Academy Registration


Read the intensive session descriptions and select which one(s) you would like to participate in. The age stated for the student MUST BE THE AGE BY July 1, 2017.
 

REGISTER EARLY to avoid being disappointed by a session being filled. Registrations are on a first-come,
first-served basis unless stated otherwise and begin being processed when registration form, medical form, and deposit are received. 

Complete form in full.

A deposit of 50% must be paid at time of registration. All registrations must be paid in full by the 1st day of the session the student is attending.

Cost:
One Week: $385
Two Weeks: $720 (Saves $50)
Three Weeks: $1035 (Saves $120)
Four Weeks: $1240 (Saves $300)

Early Bird Discounts-Register by April 1!
One Week: $360
Two Weeks: $685
Three Weeks: $960
Four Weeks: $1110


Checks should be made payable to Gamut Theatre Group and can be mailed to:

Gamut Theatre Group
15 N. Forth Street
Harrisburg

If you are interested in applying for a scholarship, please call the theatre. In cases where the academy is providing partial or full scholarships, your SCHOLARSHIP ACCEPTANCE CODE must be entered in the appropriate box on the form. 

We apologize but registrations cannot be made over the phone. You will receive confirmation of your registration via email or by mail if no email address is provided. A confirmation email will be sent to you with more information and payment codes that you may use to pay online.  *Please note- this email is not automated. Our Resident Theatre Manager will be in contact with you within 48 hours of registration. Thank you. 

 


Name *
Name
Name For Nametag *
Name For Nametag
Gender *
Birthdate *
Birthdate
Address *
Address
Home Phone
Home Phone
Cell Phone *
Cell Phone
Name of Parent/Guardian *
Name of Parent/Guardian
Address *
Address
Home Phone *
Home Phone
Cell Phone *
Cell Phone
Work Phone
Work Phone
Additional Parent/Guardian
Additional Parent/Guardian
Address
Address
Home Phone
Home Phone
Cell Phone
Cell Phone
Work Phone
Work Phone
Intensive session(s) *
Please read carefully: *
I give permission for still or video pictures of my child to be used by Gamut Theatre Group for promotional purposes I hereby give my permission for my child named above to attend the session for which he/she is registering.
Medical Information
Are you a member of HMO *
Name of Primary Physician *
Name of Primary Physician
Physician's Phone Number *
Physician's Phone Number
Date of Last Physical *
Date of Last Physical
Has the student had a tetanus shot in the past 5 years? *
Has the student ever had hepatitis *
Please check all that apply and explain as necessary:
*
The health history and other information requested are accurate to the best of my knowledge The child herein described has permission to engage in all prescribed activities except as noted In the event I cannot be reached in an emergeny I hereby give permission to the Director to secure proper treatment