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BEACH TO BROADWAY CAMPER FORMS

​Here are all the forms you need as a parent of a child who is attending our beach to Broadway summer camps. Please click submit after each form is filled out.

EMERGENCY CONTACT
& MEDICAL INFO

COSTUME MEASUREMENT FORM

Shirt Size

PHOTO, VIDEO MEDIA RELEASE FORM

LONG BAY THEATRE

BEACH TO BROADWAY SUMMER CAMP

PHOTO, VIDEO, AND MEDIA RELEASE

I, the undersigned parent or legal guardian of the participant listed below, grant permission to Long Bay Theatre and its representatives to photograph, videotape, record, and otherwise capture my child’s image, likeness, voice, performance, and participation during Beach to Broadway Summer Camp activities, rehearsals, classes, special events, and performances.

I understand that these photographs, videos, recordings, and other media may be used by Long Bay Theatre for lawful purposes including, but not limited to:

  • Marketing and promotional materials

  • Social media platforms

  • Website content

  • Print advertising

  • Newsletters and email communications

  • Grant applications and reports

  • Educational and archival purposes

  • Public relations and fundraising efforts

I understand that no compensation will be provided to me or my child for the use of such photographs, videos, recordings, or other media.

I hereby release and hold harmless Long Bay Theatre, its officers, directors, employees, volunteers, contractors, and representatives from any claims arising out of the use of my child’s image, likeness, voice, or performance as described above.

This authorization shall remain in effect unless revoked in writing by the parent or legal guardian.

PHOTO/MEDIA PERMISSION
YES – I grant permission for my child to be photographed, videotaped, and recorded and for such media to be used by Long Bay Theatre for promotional, educational, fundraising, and archival purposes.
NO – I do not grant permission for my child to be photographed, videotaped, or recorded for promotional purposes.
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LIABILITY WAIVER

LONG BAY THEATRE

BEACH TO BROADWAY SUMMER CAMP

LIABILITY WAIVER AND RELEASE OF CLAIMS


I, the undersigned parent or legal guardian of the participant listed below, hereby give permission for my child to participate in Long Bay Theatre’s Beach to Broadway Summer Camp and all related activities, including rehearsals, classes, workshops, performances, and other camp-sponsored activities.


I understand that participation in theatre-related activities may involve certain risks, including but not limited to physical activity, dance, movement, use of props and set pieces, transportation between activity spaces, and other activities that may result in injury, illness, property loss, or damage.


In consideration for my child’s participation in Beach to Broadway Summer Camp, I voluntarily assume all risks associated with participation and agree to release, waive, discharge, and hold harmless Long Bay Theatre, its officers, directors, employees, volunteers, instructors, contractors, agents, sponsors, and representatives from any and all claims, demands, causes of action, liabilities, damages, costs, or expenses arising out of or related to my child’s participation in camp activities, including claims arising from ordinary negligence.


I understand that Long Bay Theatre will take reasonable precautions to provide a safe environment; however, no activity is entirely free from risk, and participation is voluntary.


I further agree that Long Bay Theatre shall not be responsible for lost, stolen, or damaged personal property brought to camp by participants.

By signing below, I acknowledge that I have carefully read and understand this Liability Waiver and Release of Claims and agree to its terms voluntarily on behalf of myself and my child.


This document is intended as a general liability waiver and does not constitute legal advice. For maximum enforceability under South Carolina law, consider having it reviewed by legal counsel familiar with youth program liability releases.

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Long Bay Theatre is a 501(c)3 Charitable organization.

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Mailing Address:
Long Bay Theatre

9902 N Kings Hwy, Ste. C 
Myrtle Beach, SC 29572

Box Office Hours (Phone Only)
(M-F) 10am-5pm

(843) 999-6574

Funded in part by:

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