Summer Drama Camp

Summer Drama Camp accepts credit cards, checks, and money orders. All credit card payments must be made for the full tuition amount. If you are paying by check or money order, you may pay the full camp tuition or a $200 non-refundable deposit. Payment must be received within 7 days of the date you register. All balances must be paid no later than 30 days prior to the start of the camp session for which you are registered. Upon submitting your registration form, you will receive a confirmation email. If you do not, please contact us ASAP to avoid losing your spot in our program.

We are excited about the upcoming summer and look forward to working with your family.

* indicates required information (If required information does not apply, please enter N/A)

Section 1: Family Information

Parent/Guardian Name(s):

*	1.	First:	Last:
	2.

Mailing Address (If this is a two household family, list the primary contact address)

* Street Address:

* City:

* State:

* Zip Code:

Parent/Guardian #1:

Work Phone:

* Home Phone:

Cell Phone:

* Email address:

* Confirm Email:

Parent/Guardian #2:

Work Phone:

Home Phone:

Cell Phone:

Email address:

Confirm Email:

If this is a two household family, please check the guardian who will be the primary contact:

Mother:

Father:

Other:

If "Other", please explain relationship:

If the above people are not available, please contact the following person:

Name:

Relationship:

Work Phone:

Home Phone:

Cell Phone:

Section 2: Camper Information

* First Name:     * Last Name:

*Date of Birth: - -      *Age:

*Gender: M  F    Grade (during '07 - '08 school year)

School currently attending?

School attending in fall('08-'09)

Camper's email address:

Camper's MySpace page:

Camper's Facebook page:

Friend(s) to be cabinmates with: (*No more than 2 names please*)

This will be his/her first time at any overnight camp? Yes No

This will be my year attending SDC.

*T-Shirt size:
CS(6-8) CM(10-12) CL(14-16) AS(34-36)
AM(38-40) AL(42-44) AXL(46-48)

*How did you here about Summer Drama Camp?

Are you currently or have you ever taken an arts-based class at school?
If yes:

     Teacher's Name                  Type of Class                      School
1.

2.

3.

If you were referred to SDC by a former camper, what is that person's name?

*From the list provided, please choose the 2 workshops you most want to attend.
(This does not require you to take the workshops you list. At camp you can change your mind if you want to).

If you are a camper who is in 10th - 12th grade, would you like to receive more information regarding our Counselor In Training program?

YES NO

* Which camp(s) would you like to attend:

WE STRONGLY ENCOURAGE ALL CAMPERS TO TAKE THE BUS TO CAMP!!! The bus ride is a time for campers to receive information, make friends, play games, meet staff members, and begin the transition from home life to camp life.

	Camp	Session	Location	Dates	Grades (during 07 - 08)	Fees
	Discovery Camp	1	Camp Sempervirens	6/30 - 7/5	3rd - 8th	$645
	Discovery Camp	2	Camp Sempervirens	7/6 - 7/11	3rd - 8th	$645
	F.A.M.E. Camp	3	Camp Sempervirens	7/13 - 7/19	6th - 12th	$845
	Original Camp	4	YMCA Loma Mar	8/10 - 8/16	6th - 12th	$745
	Original Camp	5	YMCA Loma Mar	8/17 - 8/23	6th - 12th	$745
Combination Packages
	Discovery Camp	1 & 2	Camp Sempervirens	6/30 - 7/11	3rd - 8th	$1,240
	Original Camp	4 & 5	YMCA Loma Mar	8/10 - 8/23	6th - 12th	$1,440
	Discovery & F.A.M.E. Camp	1, 2 & 3	Camp Sempervirens	6/30 - 7/19	6th - 8th ONLY	$2,035
	F.A.M.E. & Original Camp	3, 4 & 5	Both	7/13 - 7/19, 8/10 - 8/23	6th - 12th ONLY	$2,235
	Discovery, F.A.M.E., & Original Camp	All 5 Sessions	Both	6/30 - 7/19, 8/10 - 8/23	6th - 8th ONLY	$3,375
	Bus to Session 1 (Strongly Encouraged)					$25
	Bus HOME FROM Session 2 (Strongly Encouraged)					$25
	Bus to Session 3 (Strongly Encouraged)					$25
	Bus to Session 4 (Strongly Encouraged)					$25
	Bus to Session 5 (Strongly Encouraged)					$25
	**Airport Shuttle					$40
	Camp Photo Session 1					$12
	Camp Photo Session 2					$12
	Camp Photo Session 3					$12
	Camp Photo Session 4					$12
	Camp Photo Session 5					$12
	Camp Photo Slideshow DVD					$15
	Total Amount					$
	Sibling Discount ($25 per sibling)
	Amount to be Charged					$

[ Clear All ]

*For Camp Sessions 1, 3, 4, & 5, there is a bus going TO CAMP, but NOT HOME from camp. Parents are invited to attend a final day BBQ and then will bring campers home with them.
For SESSION 2 ONLY, there is NO BUS going to camp, only a bus HOME from camp. Parents are invited to visit our beautiful facilities on our opening day of camp, and then campers will travel home by bus on the final day.

**Campers traveling by airplane: Summer Drama Camp will provide an airport shuttle service to and from camp for an additional $40. Plan to fly into and from SFO: arrive 10am - 2pm (PST) on the 1st day of camp, leave 1pm - 5pm (PST) the final day of camp. Please call us with your flight information (415.240.6852), so we can make the necessary arrangements.

Payment Method

* Credit Card (PayPal) * Check or Money Order

Credit Card Information

First Name:
Last Name:
Card Type:
Card Number:	(digits only, no dashes or spaces)
Expiration Date:
Card Verification Number:
Billing Address:
Address 1:
Address 2:	(optional)
City:
State:
ZIP Code:	(5 or 9 digits)
Country:	United States

The person herein described has permission to engage in all Overnight Summer Drama Camp activities. I hereby give permission to Summer Drama Camp to provide routine health care, administer prescribed medications, and seek emergency medical treatment including ordering x-rays or routine tests. I agree to the release of any records necessary for insurance purposes. I give permission to Summer Drama Camp to arrange necessary related transportation. In the event that I cannot be reached in an emergency, I hereby give permission to the physician selected by Summer Drama Camp to secure and administer treatment, including hospitalization, for the person named above. This completed form may be photocopied for trips out of camp. I also agree to allow my child to be used in any or all promotional photographs and videos. Furthermore, I understand that Summer Drama Camp will contact me periodically by email, phone, or traditional mail regarding current and future programs, updates and changes.

I have enrolled the afore-named child or children ('Child') in the program ('Program'). I understand the Child's participation in the Program involves exposure to inherent risks that cannot be eliminated. I also understand that the Child's participation in the Program may involve the use of ropes courses, archery, rock climbing walls, swimming, zip line, horseback riding, and other like activities, which have the potential risk of injury. Individually and as the parent or guardian of the Child, I HEREBY EXPRESSLY ASSUME ALL RISKS associated with the Child's participation in the Program including all risks associated with the above and other Summer Drama Camp activities. Despite my understanding of the foregoing risks, I, individually and as the parent or legal guardian of the Child, AGREE NOT TO SUE AND TO RELEASE FROM LIABILITY AND TO DEFEND, INDEMNIFY AND HOLD HARMLESS SUMMER DRAMA CAMP, and their representatives, owners, employees and agents for any damage or injury arising out of the Child's participation in the Program regardless of the cause, including NEGLIGENCE.

I understand that the foregoing is a LIABILITY RELEASE and a MEDICAL AUTHORIZATION that is legally binding on me, the Child, our heirs and our legal representatives and I sign it of my own free will. I acknowledge that the foregoing is binding during the 2008 summer camp season.

* SUMMER DRAMA CAMP CANCELLATION POLICY *

I agree to all terms and conditions listed above, including the SDC cancellation policy.