YAY Camp - Independence High School Summer Camp

1776 Declaration Way
Thompson's Station, TN

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Young Actors Yearly Summary Camp

(YAY Summer Camp)

***LAST DEADLINE!!! (for form and payment) – July 5th, 2020***

** Fee - $150 (additional children in same family - $125 each) **

All Fees are non-refundable after June 21st, 2020

You can pay via Paypal here:
Paypal

Or checks should be made payable to Drama Boosters and mailed to:
YAY Camp – Attn: Rebecca Williams
1776 Declaration Way
Thompsons Station, TN 37179


Child Information Form


Child’s Information

Please complete one form per child

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required
required required
required




Parent Information

(If there are special circumstances involving visitation and pick up rights, you must provide legal documentation for these arrangements.)


Emergency Contact Information

In case of emergency, after attempting the above phone number(s), please list the name of a responsible person who is authorized to act for the parent(s) in an emergency:


Other than those listed above, who may pick up your child?






Child's Medical Information





Child's Health History

required

required

required

History of Illness   


Past Medical History (Please indicate the following):









Allergies & Medications   






Please list ALL medications taken routinely.













Statement of Understanding and Permission Statements







The completion of the child information form officially enrolls my child in the YAY Summer Camp Program. It is my responsibility to update the information contained in this form as needed.



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2020



If you have any problems saving or completing your registration, please email us at yaycamp@gmail.com. If you could include a screenshot or a description of the error, that would be GREAT. You can also print out this application and mail it to us at:
1776 Declaration Way, Thompson's Station, TN 37179



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