Complete this form to register for High School Intensives. 

Caregiver First name *
Caregiver Last name *
Email *
Phone number *
Student 1 - name *
Student 1 - date of birth *
Student 1 - Grade level in Fall 2021 *
Student 2 - name
Student 2 - date of birth
Student 2 - 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.
Anything else you would like for us to know
Release Part 1 *
Release Part 2 *
Allow PS to use my students photo video audio *
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 camper’s 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 – Camper fees are non-refundable if a camper is sent home for disciplinary reasons).
* = required field