420 Chartiers Avenue | McKees Rocks, PA 15136 | 412-243-6464

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Sun  Summer Camp Workshop Registration Form
Parent/Guardian Information




Please enter digits only. Example: 1234567890

Please enter digits only. Example: 1234567890

Please enter digits only. Example: 1234567890
Alternate Drop-off/Pick-up
Will you have additional adults picking up or dropping off students other than the Parent/Guardian listed above?





Sun  Summer Camp Workshop Registration Form

Student Information

Please complete the following information for the student you are registering.  To register another student, sibling or same student for another camp, select "Add another registration" in the lower right corner of this section.






Camp Enrollment

Select from the list of available camps below.  Please note that all discounts have been applied.  Please visit our website at https://geminitheater.org/summer-workshops/ for more information. To register another student, sibling or same student for another camp, select "Add another registration" in the lower right corner of this section.

Early Bird Discount Applied

$
Early Bird Discount Applied

$
To register another student, please select the "Add another student" link below.

Additional Information

Is there any information you would like us know about your child or teen that will help us make their experience easier? ( i.e. Medical condition; Disability; Neurodivergent; Shy; Energetic; as well as preferred pronouns)  Please Note: This information is not required and will never affect your registration.

Program Information

Please complete the following biography information for the Summer Camp program.  Please list the school and grade they attend, activities that they participate in and any shows or creative activities they have participated in.



Consent

Gemini Children’s Theater takes photographs during technical rehearsal and performance to display on a pre-show slideshow in the theater as well as to give cast photos to all campers.  Some photos may be used for future marketing purposes of our education program.  Images would be used on our website and email newsletters, as well as on our Facebook and Instagram pages.  They are not sold, traded, or otherwise provided to any other parties for use and remain the sole property of Gemini Theater.
Camp shows are recorded by Gemini Theater staff and edited to share with families in digital format through Dropbox. These links are only sent to the emails on file for that camp week. It is at your discretion to share the link with family who was unable to attend the camp show. If you know you will not be able to access/view a digital copy, a DVD can be created and mailed to you at the address provided during registration. Please check here to indicate you will need a DVD.
Tuition Assistance Information
Please provide a brief narrative why you feel your child would benefit from participating in this class and a "Proof of Income" document.  Documents may include: Page 1 of most recent 1040 Tax Form; Recent Paycheck Stub; SSI Letter; Legal Document stating income from government source.

Document may include: Page 1 of most recent 1040 Tax Form; Recent Paycheck Stub; SSI Letter; Legal Document stating income from government source
Sun  Summer Camp Workshop Registration Form
Payment Details
Please select the appropriate payment option below.  For the "Payment Plan" option, final payment must be received one week prior to class start date.
$
Early Bird Discount Applied
$
Full Payment
$
Required Deposit
$
$
For Connector Processing
Billing Address




5-digits only
Credit Card






Payment and Cancellation Policies
IMPORTANT:  Select the "Review Registration" button below to view your registration and make changes before you submit payment.  You must select "Confirm" on the bottom of the next screen to process your application request.