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Box Office (M-F) 10am-5pm

(843) 999-6574

Info@longbaytheatre.com

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Health Declaration

Please fill out the following form
in order to participate in our camps.

Camper Info

First name

Last name

Parent's Email

Camper's Date of Birth

Has the camper been hospitalized in the last 12 months

No

Yes

Is the camper suffering from a medical condition, illness, or injury?

No

Yes

If you answered yes to any question, please elaborate. ADDITIONALLY, list any allergies or medications.

Initials

I declare that the info I’ve provided is accurate & complete

Thanks for submitting!

Photography consent & release form

Camper's First name

Camper's Last name

Parent's Email

Camper's Date of Birth

Parent or Guardian Initials

I hereby give my consent to use my photographs according to the terms & conditions

Thanks for submitting!

Long Bay Theatre is a 501(c)3 Charitable organization. Info: 843-212-2333

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