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Main Street Theater Productions, Inc.
AristoCats Summer Camp Registration
ESSENTIAL INFORMATION
Welcome to Main Street Theater Productions’ summer camp 2015! This page briefly describes the camp you are registering for.
Following this page, please find the camp registration form, which must be completed in its entirety. Registration must include
Emergency Contact and Medical Information. Two pages of detailed information follow the registration form. By paying the camp
tuition and allowing your child to participate in MSTP’s summer camps, you acknowledge you have reviewed and agree to these
terms. The PARENT CONSENT PAGE includes such information as camp schedules, tuition payment deadlines, and emergency
procedures; please review and be familiar with the contents of this form. The PARTICIPANT COMMITMENT PAGE talks about
what participants can expect of their camp experience; please review it and discuss it with your child. We look forward to having
your child participate with us in AristoCats, Kids!
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Elementary Camp (rising 4 – 6 graders) – AristoCats, Kids
Camp Dates: June 17 – July 3
Camp Locations:
St. Andrew Presbyterian Church, June 17 – June 26, 9 AM – 3 PM
Franklin Park Arts Center, June 29 – July 1, 9 AM – 3 PM
Franklin Park Arts Center, July 2 – July 3, 3 PM – 9 PM (camp hours for evening shows)
Show Location:
Franklin Park Arts Center, July 2 – July 3, 7 PM
Tuition: $550
At the conclusion of camp, participants will present the musical AristoCats, Kids (30 Minute
Version for Young Performers), which is based on the 1970 Disney film. Everybody wants to be
a cat in Disney's stage adaptation of the animated classic. What's a cat to do? In Disney’s The
Aristocats KIDS, Madame's jealous butler Edgar cat-naps Duchess and her Aristokittens and
abandons them in the Parisian countryside. Luckily, Thomas O'Malley and his rag-tag bunch of
alley cats come to their rescue! The show features plenty of exuberant group numbers. This
feline adventure is sure to have you tapping your feet to its upbeat, jazzy beat with a score
that includes the Disney favorites "The Aristocats," "Scales and Arpeggios" and "Ev'rybody
Wants to Be a Cat."
PARTICIPANT EXPERIENCE
Your name: __________________________________________________________________________________________________
Musical Theatre experience-
Dance/Gymnastics/Acrobatics experience-
Other relevant experience (chorus, instrumental, etc.)-
List any family members also participating, or if you or another family member are participating in our other camp, Seussical, Jr. -
List any days you may miss some or all of camp -
PARTICIPANT INFORMATION
Your name: __________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
____________________________________________________________________________________________________________
City: ______________________________
State: ___________
ZIP Code: _______________
Home Phone: ________________________________________________________________________________________________
Cell Phone: __________________________________________________________________________________________________
Email address: ________________________________________________________________________________________________
Birth date: ______________________________ Age: ____ Gender: Male / Female
School attending this fall: _______________________________________________
Grade in Fall 2015: ____________________
PARENT/LEGAL GUARDIAN INFORMATION
If information is same as above, simply fill in ‘same’.
Parents’/Guardian’s name(s): ___________________________________________________________________________________
Address: ____________________________________________________________________________________________________
____________________________________________________________________________________________________________
City: ______________________________
State: ___________
ZIP Code: _______________
Home Phone: ________________________________________________________________________________________________
Work Phone(s): _______________________________________________________________________________________________
Cell Phone(s): ________________________________________________________________________________________________
Email address(es):
____________________________________________________________________________________________________________
ADDITIONAL EMERGENCY CONTACT INFORMATION
Note: Parent(s)/Guardian is always first to be contacted in the event of an emergency.
Your name: __________________________________________________________________________________________________
Emergency Contact #1:
Name: ______________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
____________________________________________________________________________________________________________
City: ______________________________
State: ___________
ZIP Code: _______________
Home Phone: ________________________________________________________________________________________________
Work Phone: _________________________________________________________________________________________________
Cell Phone: __________________________________________________________________________________________________
Email address(es): ____________________________________________________________________________________________
Emergency Contact #2:
Name: ______________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
____________________________________________________________________________________________________________
City: ______________________________
State: ___________
ZIP Code: _______________
Home Phone: ________________________________________________________________________________________________
Work Phone: _________________________________________________________________________________________________
Cell Phone: __________________________________________________________________________________________________
Email address(es): ____________________________________________________________________________________________
Emergency Contact #3:
Name: ______________________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
____________________________________________________________________________________________________________
City: ______________________________
State: ___________
ZIP Code: _______________
Home Phone: ________________________________________________________________________________________________
Work Phone: _________________________________________________________________________________________________
Cell Phone: __________________________________________________________________________________________________
Email address(es): ____________________________________________________________________________________________
MEDICAL INFORMATION
Your name: __________________________________________________________________________________________________
Family Physician: ______________________________________________________________________________________________
Address: ____________________________________________________________________________________________________
____________________________________________________________________________________________________________
City: ______________________________
State: ___________
ZIP Code: _______________
Physician Phone: _______________________________________________
Medical Insurance Carrier: _______________________________________________
Plan/Group: _______________________________________________ Policy Number: ___________________________________
Please list all medical conditions of which camp staff should be aware (including allergies):
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Please list all prescription medications and dosages participant will need during the day:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
Please list any other conditions of which camp staff should be aware:
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
____________________________________________________________________________________________________________
MSTP Summer Camp 2015 Parent Consent Page
The AristoCats, Kids camp will take place initially at St. Andrew Presbyterian Church, with the final week and performances taking
place at Franklin Park Arts Center. Camp will take place every weekday, 9 AM – 3 PM, except on the last 2 days, when camp hours
will be 3 PM – 9 PM. Specifically, camp locations, dates, and hours are as follows:
St. Andrew Presbyterian Church, June 17 – June 19, 9 AM – 3 PM
St. Andrew Presbyterian Church, June 22 – June 26, 9 AM – 3 PM
Franklin Park Arts Center, June 29 – July 1, 9 AM – 3 PM
Franklin Park Arts Center, July 2 – July 3, 3 PM – 9 PM (camp hours for evening shows)
Show location, dates, and times are Franklin Park Arts Center, July 2 – July 3, 7 PM.
Participants should arrive promptly at the beginning of each day and should be picked up promptly at the end of the day.
Camp tuition is $550. For families also registering more than one child or for Seussical, Jr., a $50 discount will apply to such
additional camp sessions. A deposit of $300 (per session) is due with the completed registration form. Please send completed
registration forms and checks for the deposit made payable to Main Street Theater Productions, Inc. to Main Street Theater
Productions, Inc., P.O. Box 247, Purcellville, VA 20134-0247. Alternatively, registration forms may be emailed
to [email protected], but please send a check for your deposit as specified above. The remaining balance is due by May 15,
2015. Should you need to cancel out of the camp commitment, please understand that the first $100 of the tuition (per session) is
non-refundable. Returned checks will incur a $15 returned check fee to cover the cost of a returned check. Once camp begins, the
entire camp tuition is non-refundable. Camp tuition includes complimentary tickets, as many as you need, to see the show.
Registrations will be considered on a first-come, first-served basis. Should your child not be accepted into camp for any reason (e.g.
camp session is full), your deposit will be returned to you.
Participant acknowledges that some risk is involved in any theatrical production and does hereby release, remise, indemnify and
hold harmless Main Street Theater Productions, Inc. from any and all injury, loss, or damage that may befall participant except for
the gross negligence of Main Street Theater Productions, Inc., including but not limited to reasonable attorney fees incurred in the
defense of any claim. Participant discloses to Main Street Theater Productions, Inc. that participant suffers from no condition or
malady that may cause injury or sickness, including allergies or conditions requiring periodic medications, except as specified by
completing the Medical Information page of the camp registration form.
Participants will be responsible for monitoring any medical condition they may have and for taking prescription medication as
appropriate. Should an illness or injury occur during camp activities, every effort will be made to reach the listed parent/guardian
first, then additional emergency contacts in the order designated on the registration form. Participants may be released to anyone
listed on the registration form. Should an illness or injury be deemed severe, emergency services may be contacted. In the event of
a serious illness or injury, I give permission for emergency services to be contacted and for such diagnostic and therapeutic
procedures as may be deemed necessary for my child by an emergency room or nearest hospital. The medical staff has my
authorization to provide treatment, which a physician deems necessary for the well-being of my child. I agree to be responsible
for all charges incurred.
Main Street Theater Productions, Inc. anticipates providing costumes for participants, unless otherwise agreed. Participants will
need to provide their own shoes, undergarments, hosiery (e.g. socks and/or tights), and stage makeup to be worn in performances.
You will be notified within the first week of camp specifically what items will be required. Costume items issued by Main Street
Theater Productions, Inc. must be returned in good order at the conclusion of camp. Costume items not returned or returned with
damage will incur a cost commensurate with the cost to repair or replace the item. Main Street Theater Productions, Inc. will be
responsible for laundering costumes at the conclusion of camp.
Main Street Theater Productions, Inc. owns all the rights to the advertising and publicity for the upcoming production, to the express
exclusion of participant. Participant grants to Main Street Theater Productions, Inc. the unqualified but non-exclusive right to use the
name, picture, likeness and personal history of participant in the advertising of the production. Notwithstanding the foregoing, Main
Street Theater Productions, Inc. agrees not to share confidential information relating to participant unless the same has a bearing
upon participant’s performance and abilities as a participant in this production.
Photos and/or videos of participants’ performances may be taken and used in Main Street Theater Productions, Inc.’s promotional
materials or on the company’s web site and Facebook page. If you do not agree with this provision, please provide written
notification with your registration (this form).
MSTP Summer Camp 2015 Participant Commitment Page
Musical theater at its best is a magical experience for both the participant on stage and the audience watching the show. Behind the
magic is a lot of hard work and commitment on the part of the directors, staff, and the individual actors. To facilitate the best
possible experience for all involved, participants and parents agree to the following:
I understand that I have registered for Main Street Theater Productions’ (MSTP) summer camp session(s) as designated above. MSTP
directors will cast me based on age, gender, and experience. Casting decisions of the directors are final.
Producing an entire musical show in a three week camp setting is an intensive effort requiring a high degree of teamwork between
everyone involved, staff and participants alike. Participants are expected to arrive on time each day and must attend the entire day.
Expected absences must be listed on the registration form. Please note that such absences, although planned, can and probably will
affect the role for which you are cast. Absent actors have an adverse impact on all those with whom they work in a scene, a musical
number, or a dance.
Participants should bring their own lunches, including drinks; there are no food or drink concessions or vending machines at our
rehearsal venues. Kitchen facilities including a microwave and refrigerator will be available. Participants will be given 30 minutes for
lunch; also bring snacks and water bottles to be consumed as needed throughout the day.
Participants must be picked up promptly at the end of each day.
Participants will be issued scripts and CDs three weeks prior to the beginning of camp so they can begin learning lines and songs
prior to the beginning of camp. The scripts will be the participants’ to keep.
Participants will have one or more costumes appropriate for your role. Camp will provide you with most of your costume items;
however, you will bring some items from home, including shoes, undergarments, hosiery (socks and/or tights), and stage makeup.
You will be told within the first week of camp specifically what items will be required. You will be responsible for caring for your
costume and accessories as appropriate. This includes making sure your costumes are hung on the provided racks in their designated
spaces. All assigned costumes will be returned to Main Street Theater Productions after the final production.
Participants must listen, be respectful of person and property, and be responsible for being prepared. This means, among other
things, arriving to rehearsal on time with script, pencil & eraser (for making notes in the script), and other assigned materials.
Participants must memorize lines, blocking, songs, and choreography as assigned by the directors. Repeated lack of preparation or
lack of self-control and discipline may result in a change of role and, if excessive, then dismissal from summer camp.
Participants are expected to behave in the same manner as would be expected at school and may be disciplined in the same manner
as might be expected in a school setting.
We are guests of the facilities we use for rehearsals and performances. Please be respectful of these facilities and strive to leave
them in better shape than you found them. Rules and regulations specific to these facilities will be reviewed as we begin to use each
facility.