Spring Break Camp 2025 "*" indicates required fields Spring Break Camps are for students in Kindergarten through 5th grades. Each student will need to be registered separately. DO NOT SUBMIT THIS FORM MORE THAN ONCE. If you need assistance, please email us at nphilbrick@ctgso.org. NOTE: There is NO automated response for your registration! You will see a confirmation page, and then you will receive an email from us once everything is complete. Student InformationStudent First and Last Name* First Last Student Age*Student Grade Level* Kindergarten First Grade Second Grade Third Grade Fourth Grade Fifth Grade Please list any allergies, health concerns, or any other important information here:*Has Student Participated in CTG Programs Before?* Yes No Parent InformationParent/Guardian Name* First Last Parent/Guardian Email*Parent/Guardian Phone Number*Address* Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Emergency Contact InformationEmergency Contact 1: First and Last Name*Emergency Contact 1: Phone Number*Emergency Contact 2: First and Last NameEmergency Contact 2: Phone Number*Please select your camp dates: All Four Days! (April 14th - April 17th) Monday, April 14th Tuesday, April 15th Wednesday, April 16th Thursday, April 17th No Camp on Friday, April 18th 2025All Four Days! (April 14th - April 17th) Price: Monday, April 14th Price: Tuesday, April 15th Price: Wednesday, April 16th Price: Thursday, April 17th Price: Total Credit CardCard Details Cardholder Name I have read the above and agree to its content. By Checking "I Agree", I am stating that I agree to the Release and Waiver above.**In connection with the registration of your child for the theatre classes and/or theatrical performances to be conducted by or on behalf of The Community Theatre of Greensboro, and in consideration of your enrollment and/or consent of your child in such classes and/or performances, you agree to the following: I/We have been informed fully on the activities to be offered to my child and consent thereto; represent that my child/children are in good health and physically fit and capable of participation in the theatrical programs and performances to be offered by The Community Theatre of Greensboro; acknowledge the risks and hazards of physical injury inherent in theatrical workshops and performances and hereby assume all such risks and hazards. I/We hereby release, waive, and agree not to assert against The Community Theatre of Greensboro, and each of their respective directors, teachers, officers, supervisors, agents, volunteers, or employees (collectively, the “Releasees”) any claim for injury to my child in consequence of or incident to such training, performance or other activities. Specifically, I/We, on behalf of myself and my heirs, executors, administrators, next of kin, successors, or legal representatives forever release, waive, discharge and covenant not to sue the Releasees for any personal injury, death, disability, property damage, property theft or acts and/or omissions of whatsoever kind and nature including, but not limited to, those caused by its negligence or other acts of the Releasees. In case of emergency, if the staff of The Community Theatre of Greensboro is unable to reach me/us by phone, and it is a situation that appears to require immediate emergency medical assistance, I/We hereby give my permission for the staff to contact 911 and secure treatment for my/our child as named in the emergency information. I Agree