School of Theater Form

Student's Name(Required)

First Last

More than one student enrolled? List additional student's names here:

Primary Caregiver Contact(Required)

First Last

Primary Phone(Required)

Primary Email(Required)

Secondary Caregiver Contact(Required)

First Last

Secondary Caregiver Phone(Required)

Pick Up Person (if different from above contacts, optional.)

First Last

Pick Up Person Phone

MEDICAL & BEHAVIORAL ISSUES!

If there is anything we need to know concerning your child and their comfort and creativity – please let us know prior to class so the Instructors can be well prepared. If your child has been on medication during the school year and has treatment suspended for the summer, we need to know this also.

PARK PERMISSION!(Required)

We have read the above information. We also give permission for our child to walk with his/her class (escorted and supervised by Camp Instructors and Assistants) to Julia Davis Park.

We Give Park Permission

Medical Permission(Required)

I, the undersigned parent/guardian do hereby grant authority to the staff of ISF to render judgment concerning medical assistance or hospital care in the event of an injury or illness during my absence or if I am unable to be contacted.

We Give Medical Permission

Photo Permission(Required)

I grant permission for the ISF to reproduce and use my child’s image on Festival marketing, promotion, and digital material.

We Give Photo Permission

We do NOT Give Photo Permission

Parent or Guardian's Name, To Serve as E-Signature(Required)

First Last

Education Department
(208) 429-9908 ext. 206
education@idahoshakespeare.org