Young Shakespeareans Participant Form 2019

Please fill out and submit this form to complete your registration for your camp or workshop. It’s important to us that we are informed of all needs and/or concerns a participant might have so that we can adapt the program appropriately to support them.

Young Shakespeareans Participant Form: 2019

Participant Information

Which camp/workshop(s) are you registered for? *

First name *

Last name *

Preferred name

Date of birth *

First emergency contact name *

Relationship to participant *

Cell phone *

Second emergency contact name *

Relationship to participant *

Cell phone *

Participant Health & Safety

This information will be kept confidential and will only be referenced in the unlikely event of an emergency.

Please list any health concerns the participant may have (eg. asthma, diabetes, epilepsy etc)

Please list any allergies the participant has, the severity of the reaction and any special instructions

Does the participant carry an epi-pen? *

Yes

If yes, do they know how to administer it?

Yes

Please list any medications the participant is currently taking, and please specify if they will be bringing this medication to Young Shakespeareans

Please note any other physical, mental, social, or emotional nature that you would like us to be aware of.

Or, if you'd prefer, please call Bryony Pratt at 604-737-0625 ext. 252 or email [email protected] and let us know how we can best support you and the participant.

Individual Responsible for Pick-Up/ Drop-Off

How will the participant be travelling to the workshop? *

Accompanied inside by parent/guardian

Arriving independently

How will the participant be travelling from the workshop? *

Checked out by parent/guardian

Leaving independently

Notes on participant arrival/departure

About The Festival

Explore

Reach Out

Participant Information

Participant Health & Safety

Individual Responsible for Pick-Up/ Drop-Off