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You in grade 3 - 6?

You love to perform?  Want to take part in a musical?  Love Dancing? Singing? Disney? 

  JOIN US and  take part in our musical adventure – Jungle Book Kids! 

When:  Saturdays:  April 13th, 20th, 27th and May 4th from 9AM – 4PM



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Please print your transaction receipt to show for your admission to the event.

Your purchase helps to fund HCCMS Theatre Productions.

Thank you!

Registration for

HCCMS Drama Kids Camp!

It's all about KIDS!

*To provide creative learning experiences that are fun and engaging.
* To help young people develop self-esteem and respect for their peers.
* To encourage young people to interact and relate with others in a safe, supportive atmosphere.
* To expand students' ideas of what art is and can be.
* To help to build a lifelong love of the arts.
* To provide an understanding of the roles necessary to mount a theatrical production.

*Will spend four Saturdays working on a presentation of The Jungle Book kids 

  Students must bring a lunch and water to drink throughout the day.



Student Name

           Phone #s:


Parent(s) Name













Grade in school      


Emergency Contact

          Phone # Phone#


Medical Information


 Medical Consent and Release of Liability  

I, the undersigned parent or guardian of __________________, a minor, do hereby authorize the directors and teachers of HCCMS Drama Camp as agents for the undersigned to consent to medical treatment in an emergency. I hereby release and discharge HCCMS. from any and all claims for personal injuries. I agree that photographs of this student taken during workshop hours may be used for promotional purposes by HCCMS Drama, but will not be used by other organizations without additional written consent.  

Signature _________________________________________________  Date______________________                                                                      

Payment Information

To secure enrollment, please send $100 payable to HCCCMS Drama Booster Club, to the address below or pay online by credit card following the link on  Full payment is due before the first day of class.  REFUND POLICY: Full refund only if class is cancelled by HCCMS. I understand the cost and refund policy for HCCMS Drama Kids Camp.



Signature__________________________________________________ Date___________________

E-mail the completed form and pay via paypal, or  Mail completed form and a check to secure your child’s spot to:  

Harris County Carver Middle School

Attn.: Merrill Cheyne

11969 US Hwy 27

Hamilton, Georgia 31811

Checks made out to HCCMS Drama Booster Club

In the check memo blank put: your child’s name


Kids Camp
Print Receipt-Bring 4/13/2013