Camper, Medical, and Pick Up Information 2019 Camper, Medical and Pick Up Information 2019 Camper InformationSelect the camp(s) you have registered for:* Camp Paramount Pease 1, June 3-14, 2019 Camp Story Wranglers, June 10-21, 2019 Camp Paramount Pease 2, June 17-28, 2019 Camp Paramount Trinity, July 8-19, 2019 Camp Paramount Baldwin, July 15-26, 2019 Camp Paramount Magellan, July 22-Aug 2, 2019 Camp Paramount Pillow, July 29-Aug 9 Camper's First Name:*Camper's Last Name:*Camper's Age:*Camper's birthday*Month123456789101112Day12345678910111213141516171819202122232425262728293031Year2022202120202019201820172016201520142013201220112010200920082007200620052004200320022001200019991998199719961995199419931992199119901989198819871986198519841983198219811980197919781977197619751974197319721971197019691968196719661965196419631962196119601959195819571956195519541953195219511950194919481947194619451944194319421941194019391938193719361935193419331932193119301929192819271926192519241923192219211920Select the grade the Camper will be entering in the Fall?Select GradeKindergarten1st Grade2nd Grade3rd Grade4th Grade5th Grade6th Grade7th Grade8th Grade9th Grade10th Grade11th Grade12th GradeGender*Select GenderFemaleMaleSchool attending next year:Campers T-shirt size: (All campers receive one t-shirt with camp tuition. Additional t-shirts may be purchased by going to www.austintheatre.org/campstore.)*Youth SmallYouth MediumYouth LargeYouth Extra LargeAdult SmallAdult MediumAdult LargeAdult Extra LargeYour InformationYour First Name*Your Last Name*Relationship to Camper:*Home Phone*Cell Phone*Email 1:*Street Address (Mailing Address)*City*State*Zip Code*Other Email: (Include anyone you'd like to receive correspondence from the Camp Manager.)Emergency Contact/Pick Up Information (include yourself)Emergency Contact 1:*Relationship to Camper:*Emergency Contact 1 Phone:*Email 1:*Emergency Contact 2:Relationship to Camper:*Emergency Contact 2 Phone:Email 1:*Please list any individuals, other than yourself, allowed to pick up your student: (Students will not be released to anyone who is not on this list.)*(Maximum response 255 chars, approx. 5 rows of text) Medical InformationPlease list any medical (physical and/or developmental) conditions that we should know about. If there aren't any please, just write "None"*(Maximum response 255 chars, approx. 5 rows of text) Any medications we should know about?*(Maximum response 255 chars, approx. 5 rows of text) I have read and understand the policies and procedures for Summer Camps at Paramount Academy for the Arts: http://www.austintheatre.org/camp-information-and-policies/*Please select responseYesNoHow did you hear about our camps?*Please select responseReturning CamperSubscriber to the ParamountCamp BrochureOnlineFriend/FamilyAustin Family Camp FairAustin Kids DirectorOtherQuestions or comments? Please use proper capitalization. Please submit one registration form per child.