ICON Performing Arts
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Participant Information

Total Number of Students (Please check one box for every student registering. For example: if you have two students, check the 1st and 2nd student boxes. If you have three students, check all three boxes. *

Household / Adult Primary Contact

Relationship to Participants: *
By proceeding, you acknowledge that the producers and hosts of the camp and show will take pictures and video for creative and marketing purposes and give permission for them to use such images and video indefinitely without need for compensation.  You further acknowledge that since students will engage in physical activity and minor injuries are possible; you will hold harmless from liability the producers, hosts, venues and sponsors.