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J. ERNEST GREEN

ARTISTIC

DIRECTOR

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Live Arts Maryland

Musical Theater Summer Camp Registration Form

June 22–26, 2026

Student's First Name

Last Name

Date of Birth

Email (if applicable)

Age

Grade (fall 2026)

Shool attending (2026 - 2027)

Years of performance experience (theater, music, or dance)

Areas of experience (check all that apply): * Required

Acting

Singing

Dance

Musical Theater

None / Beginner

Voice Part (if known) * Required

Soprano

Alto

Tenor

Bass

Not Sure

Private Teacher / Coach (if applicable)

What excites you most about musical theater?

Favorite shows, songs, or roles?

Are you comfortable performing solo? *

Yes

Somewhat

T-Shirt Size

Parent / Guardian Name(s)

Primary Phone

Secondary Phone (if applicable)

Parent / Guardian Email

Secondary Email (if applicable)

Emergency Contact if Different Than Above

Does your child have any medical conditions we should be aware of? Allergies? Medications?

Yes

If yes to the above, please elaborate.

Doctor's Name and phone number

I give permission for my child's image or performance to be used for promotional purpouses *

yes

In case of an emergency, I authorize camp staff to seek medical treatment. *

yes

I understand that students are expected to participate fully, follow camp guidelines, and show respect to others. *

yes

Will your child need to arrive late, or leave early, on any day? *

yes

If you answered "yes" above, please elaborate.

Anything else we should know to help your child have a successful and enjoyable week?

801 Chase Street, Annapolis, MD 21401

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