CAPA Performing Arts Camp

Saturday, February 24, 2018 at Madonna University from 11:00-4:00

Applications are due by Friday, January 26, 2018

($25 cash or check made out to Churchill High School)

Student Name: _________________________________    Grade: _______

School: ___________________________

Phone Contact name and number: ________________________________________

Address: ____________________________________________________

E~mail address (please print legibly) _____________________________________________

T~shirt size (adult sizes):   S          M         L          XL        XXL

Areas of interest: ACTING    VOCAL      DANCING

If you are in 8^th grade and using camp as your audition into CAPA, please let us know at check in!

Any food allergies? If yes, please list allergies:

Workshop Rules

1.     No student should be in the hallways or bathrooms without supervision.

2.     Mentors will escort students to appropriate rooms.

3.     Attendance will be taken in every session after breaks.

4.     CAPA will provide snacks throughout the day.

5.     In the event of an emergency, immediately find a CAPA staff member or volunteer (parents/guardians of the participants must be available by phone during the house of the camp)

6.     Staff will stay with students until they are picked up at the end of the day, 4:00. A late fee of $5.00 will be charged for every 15 minutes after the designated pick up time of 4:00.

7.     Parent/Guardian must check their student in and out of the camp at the registration table before dropping off or picking up their student. Registration/check in begins at 10:30 a.m.

8.     Students will leave all valuables, including cell phones, at home. Phone service is available for students in case of emergency or to call home for a pick up.

9.     By signing below, both student and parent/guardian agree to the above workshop rules and verbal directions given by the camp staff.

__________________________________    _____________________________

Student Signature                                       Date

________________________________        __        _______________________________

Parent/Guardian Name                              Parent/Guardian Signature   

Please send health and registration forms with a payment of $25 by January 26, 2018 to:

Ms. Hillman, Director of CAPA                 Forms:

Churchill High School                                 1. Registration  ____

8900 Newburgh Road                                 2. Health and Emergency _____

Livonia, MI 48150                                        3. Full Payment for Workshop