Complete this registration form to register for a class at Portland Stage.
Caregiver First Name
Caregiver Last Name
Student 1 - name
Student 1 - date of birth
Student 1 - grade level Fall 2021
Does your student(s) have any allergies or other health concerns that our education staff should be aware of? If so, please list them below.
Anything else you would like for us to know about your student
Allow PS to us my childs photo video audio
Yes, can use in marketing
No, do not use in marketing
Release Part 1
I understand these activities may include certain risks including, but in no way limited to: (1) moderate & severe personal injury, (2) property damage, (3) disability, (4) death, & (5) sickness or disease including, without limitation, COVID-19.
Release Part 2
I specifically release Education, its owners, directors, employees, & volunteers from any claim of any kind arising from my student’s participation in the Education program.
BEHAVIOR POLICY: We are committed to working with students, parents, and guardians to ensure everyone has a positive experience at Portland Stage. Each student is expected to engage with others in a safe and respectful manner to help everyone achieve the best possible experience. If our Teaching Artists or Staff have a concern regarding a camper’s behavior, our policy is: 1. Teachers/Staff will redirect the student to more appropriate behavior. 2. If inappropriate behavior continues, the student will be reminded of the camp expectations and behavior guidelines. Together, the student & teachers/staff will decide on action steps to correct the behavior. 3. If disruptive behavior continues and/or is affecting the safety or well-being of others, Education staff will contact the parents or guardians. 4. If inappropriate behavior continues, as a final action step, the student may be dismissed from camp. (Please note – Student fees are non-refundable if a student is sent home for disciplinary reasons). I have read and agree to the Behavioral Dismissal policy. If you have any questions, please contact email@example.com
= required field