Complete this form to register for Portland Stage Classes.
After clicking submit, you will be asked to select the date you wish to attend and then complete your payment information. Thank you.
Caregiver First name
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Caregiver Last name
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Email
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Phone number
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Student 1 - name
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Student 1 - date of birth
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Student 1 - Grade Level in Fall 2023
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Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
Student 2 - name
Student 2 - date of birth
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February
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December
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Student 2 - Grade Level in Fall 2023
Kindergarten
1st Grade
2nd Grade
3rd Grade
4th Grade
5th Grade
6th Grade
7th Grade
8th Grade
9th Grade
10th Grade
11th Grade
12th Grade
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. Does your student(s) have any communication, mobility, or other needs that you would like us to know about?
Anything else you would like us to know.
Release Part 1
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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
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I specifically release Education, its owners, directors, employees, & volunteers from any claim of any kind arising from my studentâs participation in the Education program.
Allow PS to use my students photo video audio
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Yes, can use in marketing
No, do not use in marketing
BEHAVIOR POLICY: We are committed to working with students, parents, and guardians to ensure everyone has a positive experience at Portland Stage. Each camper 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 camperâs behavior, our policy is: 1. Teachers/Staff will redirect the camper to more appropriate behavior. 2. If inappropriate behavior continues, the camper will be reminded of the camp expectations and behavior guidelines. Together, the camper & 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 camper may be dismissed from camp. (Please note â Camper fees are non-refundable if a camper is sent home for disciplinary reasons).
I have read and agree to the Behavioral Dismissal policy. If you have any questions, please contact education@portlandstage.org
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