CARE Actor LLC
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ARLINGTON COUNTY SUMMER CAMPS

REGISTRATION FORM

1. General Information

NOTE: PLEASE FILL OUT A SEPARATE FORM FOR EACH CHILD

    2. Medical & Emergency Contact Information

    3. Photo Release Agreement

    I grant to C.A.R.E. Actor LLC the right to use photographs of my son/daughter and my family in connection with the above-identified event.  I authorize C.A.R.E. Actor LLC to use these photographs in promotional materials i.e. brochures, website, marketing materials for such purposes as publicity, illustration, advertising, and web content.

    4. Hold Harmless Agreement

    As the legal parent or guardian, I release and hold harmless C.A.R.E Actor LLC, its owners and operators from any and all liability, claims, demands, and causes of action whatsoever, arising out of or related to any loss, damage, or injury, including death, that may be sustained by the participant and/or the undersigned, while in or upon the premises or any premises under the control and supervision of C.A.R.E Actor LLC its owners and operators or enroute to or from any of said premises.
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SUBMIT FORM
**PLEASE SUBMIT YOUR INFORMATION AND THEN PURCHASE A CAMP PACKAGE ON THE NEXT PAGE. YOUR REGISTRATION IS NOT COMPLETE UNTIL YOU HAVE FINALIZED A PAYMENT FOR EACH CHILD. **

THANK YOU!
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  • Home
  • About Us
    • Our Story
    • Meet the Staff
    • Join Our Team
  • SUMMER CAMPS
    • Virtual Storytelling Camps
    • In-Person Performance Camps
  • Teacher Resources
  • Blog