Summer Camp 2025 Registration Form

2nd Gen Summer Theatre Camp 2025 Registration Form

Your registration for 2nd Gen Summer Theatre Camp will not be considered complete until this form has been submitted.

Student Name(s)(Required)

First Last

Student Age(s)(Required)

Camp Week

July 14-18

July 21-25

BOTH!

Parent/Guardian Name(Required)

First Last

Email Address(Required)

Email Address Confirm Email Address

Phone Number(Required)

Address

Street Address Address Line 2 City ZIP Code

Emergency Contact Name(Required)

First Last

Emergency Contact Phone Number(Required)

Does the student have any medical needs or allergies we should know about?(Required)

Does your child require/benefit from additional behavioral support or have any needs that might require support?(Required)

Read SGT Policies and INITIAL below:(Required)

-ENROLLMENT & REFUNDS: 100% Refunds will ONLY be issued prior to the start date of class. -Students are expected to be respectful of MSM’s space- no gum, food, or drinks other than water are permitted in the classroom. -Please notify SGT at (716) 508-SGT0 or education@2ndgentheatre.com if you know a student is going to miss the day or be late! (Initial to accept these policies)

Read SGT Waiver and INITIAL below:(Required)

Second Generation Theatre Company, its instructors, and the various facilities are not legally held responsible for any illness, accidents, or injury that may occur to you, an adult caregiver accompanying your child, and your child. By signing or printing your name on this document, you agree to accept full responsibility for yourself and child while attending SGT classes. I have read the SGT policies and waiver and agree to accept them. All the information on this registration form is accurate to the best of my knowledge (Please initial to accept this waiver)

SGT Photo Release Form – INITIAL Below:(Required)

I hereby authorize Second Generation Theatre Company, Inc. (SGT) to publish the photographs taken of me and/or the undersigned minor children, and our names, for use in SGT’s printed publications and website. I release SGT from any expectation of confidentiality for the undersigned minor children and myself and attest that I am the parent or legal guardian of the children listed below and that I have the authority to authorize SGT to use their photographs. I acknowledge that since participation in publications and websites produced by SGT is voluntary, neither the minor children nor I will receive financial compensation. I further agree that participation in any publication and website produced by SGT confers no rights of ownership whatsoever. I release SGT, its officers, trustees, and its employees from liability for any claims by me or any third party in connection with my participation or the participation of the undersigned minor child. (Initial below to confirm that you have read and accept this photo waiver.)

CONTACT US:

716- 508- SGT0 (7480)

info@2ndgentheatre.com

Contact Form

Second Generation Theatre

P.O.Box 24

Kenmore, Ny 14217

Summer Camp 2025 Registration Form

2nd Gen Summer Theatre Camp 2025 Registration Form

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