REGISTRATION REGISTRATION (CONT’D) - Mayfair Clubs · shall Mayfair Clubs, its officers,...
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MAYFAIR LAKESHORE 801 Lake Shore Blvd. E. Toronto, ON M4M 1A9 (416) 466-3777 GROOVE PERFORMING ARTS CAMP mayfairclubs.com 1 of 2 (Please turn over) AGES 4-12 REGISTRATION (CONT’D) Please submit form to: Mayfair Lakeshore 801 Lake Shore Blvd. E., Toronto, ON Phone: (416) 466-3777 ext. 2241 E-mail: [email protected] REGISTRATION Participant’s Information LAST NAME FIRST NAME MEMBER # (IF A MAYFAIR MEMBER) GENDER AGE HEALTH CARD NUMBER PHYSICIAN’S NAME & PHONE Please specify any medical conditions with regards to participant (allergies, special needs). YOUTH T-SHIRT SIZE (for summer camp only): S M L XL DOES THE PARTICIPANT NEED A LIFEJACKET FOR SWIMMING? YES NO Parent/Guardian’s Information PARENT/GUARDIAN’S NAME RELATIONSHIP TO PARTICIPANT PERSONS AUTHORIZED TO PICK UP ADDRESS CITY POSTAL CODE HOME PHONE CELL PHONE E-MAIL PARENT/GUARDIAN SIGNATURE (By signing, you are acknowledging that you have read the below) By use of club facilities, I expressly agree that Mayfair Clubs, its officers, directors, employees, servants or agents, shall not be liable in any manner whatsoever for any damages of any nature or kind whatsoever arising from any injuries sustained by my child while in or about the premises of said facilities; nor shall Mayfair Clubs, its officers, directors, employees, servants or agents, be held liable for any loss or theft, however caused, whether such injury, loss or damage is caused by an act of negligence or omission of staff, management or any other person. I hereby grant Mayfair Clubs permission to use any photographs or video of the participant in publications, displays, presentations or other related use in any format (print, electronic, www site, or other media) for the purpose of promoting Mayfair Clubs events, activities and projects. I waive any copyright or other rights I may have in use of images. Summer Break
Transcript of REGISTRATION REGISTRATION (CONT’D) - Mayfair Clubs · shall Mayfair Clubs, its officers,...
MAYFAIR LAKESHORE801 Lake Shore Blvd. E.Toronto, ON M4M 1A9
(416) 466-3777
GROOVE PERFORMING
ARTS CAMP
mayfairclubs.com
1 of 2 (Please turn over)
AGES
4-12
REGISTRATION (CONT’D)Please submit form to:Mayfair Lakeshore801 Lake Shore Blvd. E., Toronto, ONPhone: (416) 466-3777 ext. 2241E-mail: [email protected]
REGISTRATION
Participant’s Information
LAST NAME FIRST NAME
MEMBER # (IF A MAYFAIR MEMBER) GENDER AGE
HEALTH CARD NUMBER PHYSICIAN’S NAME & PHONE
Please specify any medical conditions with regards to participant (allergies, special needs).
YOUTH T-SHIRT SIZE (for summer camp only): S M L XL
DOES THE PARTICIPANT NEED A LIFEJACKET FOR SWIMMING? YES NO
Parent/Guardian’s Information
PARENT/GUARDIAN’S NAME RELATIONSHIP TO PARTICIPANT
PERSONS AUTHORIZED TO PICK UP
ADDRESS
CITY POSTAL CODE
HOME PHONE CELL PHONE
PARENT/GUARDIAN SIGNATURE(By signing, you are acknowledging that you have read the below)
By use of club facilities, I expressly agree that Mayfair Clubs, its officers, directors, employees, servants or agents, shall not be liable in any manner whatsoever for any damages of any nature or kind whatsoever arising from any injuries sustained by my child while in or about the premises of said facilities; nor shall Mayfair Clubs, its officers, directors, employees, servants or agents, be held liable for any loss or theft, however caused, whether such injury, loss or damage is caused by an act of negligence or omission of staff, management or any other person.
I hereby grant Mayfair Clubs permission to use any photographs or video of the participant in publications, displays, presentations or other related use in any format (print, electronic, www site, or other media) for the purpose of promoting Mayfair Clubs events, activities and projects. I waive any copyright or other rights I may have in use of images. Summer Break
GROOVE PERFORMING ARTS CAMP
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Camp OptionsWeekly Camp: Half-Day Weekly (AM) Half-Day Weekly (PM)
Camp Dates Week 1: July 2-5* (AM) - Broadway Bound Week 2: July 8-12 (PM) - School of Rock Week 3: July 15-19 (AM) - Greased Lightin Week 4: July 22-26 (PM) - Around the World Week 5: July 29- Aug 2 (AM) - Pop Stars (making a video) Week 6: Aug 6-9* (PM) - Hollywood Stars Week 7: Aug 12-16 (AM) - Disney Mania Week 8: Aug 19-23 (PM) - Director’s Chair (writing a play) Week 9: Aug 26-30 (AM) - Follow the Yellow Brick Road
OR write individual day(s):
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*Fees for 4 day week camps will be pro-rated.
Extended Child CareDo you wish to have extended child care?* Yes No
*Extended care hours are provided for parents and guardians who are not able to drop off or pick up their children during regular camp hours. This service is in addition to your camp fee.
Before camp hours 8:00am-9:00am ($30/wk per child)
After camp hours 4:00pm-6:00pm ($60/wk per child)
Before and after camp ($80/wk per child)
$9.50 for 1 hour or $14 for 2 hours
Date(s): ___________________________________________________________________________________
Time(s): ___________________________________________________________________________________
REGISTRATION (CONT’D)
Payment Method Charge Member Account Visa Master Card Amex
CREDIT CARD NUMBER EXPIRY DATE
NAME ON CREDIT CARD
(SHRED AFTER USE)
SUMMER HOLIDAY Members Non-membersHalf-Day Week $250 $300
Half-Day $50 $60
MORNING SESSION9:00 AM – 9:30 AM Welcome activities & Dynamic warm up and stretch9:30 AM – 10:15 AM Dance workshops10:15 AM Snacks and inactive games10:45 AM Creative and visual arts11:15 AM Drama and vocal workshops (improv, scene work)12:00 PM Pick up
AFTERNOON SESSION1:00 PM – 1:30 PM Welcome activities & Dynamic warm up and stretch1:30 PM – 2:15 PM Dance workshops2:15 PM Snacks and inactive games2:45 PM – 3:15 PM Creative and visual arts3:15 PM Drama and vocal workshops (improv, scene work)4:00 PM Pick up
Half-Day (AM) Half-Day (PM)
Important Reminder to ParentsΩ Children must be at least 4 years old to attend camp.
Ω Participants must wear appropriate clothing.Ω For your child’s safety and protection, parents are required to notify the Camp Supervisor in writing if the participant must leave the camp early or with a different person.
Ω Children must be signed in and out of camp each day by the authorized parent or guardian. Photo ID may be required.
Ω We are a nut aware facility and ask that you do NOT pack any peanut or nut products for your child.
Ω The club must be notified of your child’s allergies.
Ω Tax is not included.
Ω Cancellation Policy: 1 week notice before the child’s first day of camp is required to receive a full refund.
Ω Camp cancellation Policy: Mayfair Lakeshore can cancel the camp with 1 week in advance due to low members.
Your child will need:Ω Comfortable clothesΩ Running shoesΩ Sunscreen (Summer Holiday Camp)
Calling all movie stars and performers! Do you love to sing, dance and act? Then this is the program for you! This new and exciting performing arts camp will get you into the groove, learning the latest hip hop and breakdance trends! Campers will also get to work on improv, character study, musical theatre scenes and songs from broadway, glee, and pop hits, audition prep, vocal training, drama games, and much more! Campers will get to bring home their own professional headshot & acting resume!
