SBW Holiday Camp

Zombie FX Make-Up Camp

Monday, October 12th, 9am-3pm

Stoneybrook West Towncenter

Appropriate for ages 7-14

Zombie Make-Up FX Camp Registration Form

Please note that all fields followed by an asterisk must be filled in.

Parent/Guardian First Name*

Parent/Guardian Last Name*

E-Mail Address*

Street Address*

City*

Cell Phone*

Child's Name*

Age*

Are you signing up siblings?*

If you are signing up siblings, how many children will be attending in total?

Please list additional children's names and ages

Please list ADA Accommodations needed

Transportation To and From Camp*

Approved Child Pick Up (Please list names, phone number, and relation)

Emergency Contact (Please list names, phone number, and relation)

OPMI Payment Policy*

If registrations are received after the camp registration deadline of 72 hours prior to the camp start date, I understand there will be an additional $25 late registration fee per child added to my camp payment due at the time of registration. I also understand that any portion of the camp that my child cannot attend shall be forfeited without refund or credit. Payments are due 1 week before camp starts, and any payments made after that are subject to a $25 late payment fee per child.

Statement of Understanding*

By checking this box I accept and understand that camp runs from 9:00am-3:00pm. Any portion of the camp that my child cannot attend shall be forfeited without refund or credit. I also understand that I am responsible for picking up my child from camp on time. If I am more than 10 minutes late, I accept and understand that late pick-up fees will be applied.

OPMI Liability Waiver*

BY CHECKING THIS BOX, I AGREE THAT I HAVE READ AND VOLUNTARILY SIGNED THIS AGREEMENT ELECTRONICALLY and further agree that no oral representation, statements, or inducement apart from the following written agreement has been made: IN CONSIDERATION of being permitted to utilize the facilities, services and program of ORLANDO PREMIER MUSIC INSTRUCTION, herein after referred to as 'OPMI', for any purpose including but not limited to observation or use of facilities or equipment or participation in any off-site program affiliated with OPMI, the undersigned, for himself or herself and any personal representatives, heirs, children and next of kin, hereby acknowledges, agrees and represents that he or she releases OPMI and its staff members from all liability for an injury, loss or damage connected in any way whatsoever to participation in OPMI activities whether on or off of the premises affiliated with OPMI. He or she understands that this release includes any claims based on negligence.

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Zombie Make-Up FX Camp Registration Form

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