Camp Stars Theater Summer Camp Registration





Student Information







Parent/Guardian Information






Alternate Emergency Contact






Medical/Dietary Information




















Medications

Please list the medications your child must take on a regular basis.


Photography Release

I do hereby give permission to Jackson State University, its agents and employees; to make use of photographs and images of my child in advertising and promotion activities for JSU Events Management. I expressly agree to and grant to Jackson State the authority to use such photographs or images on the university’s and/or printed materials, including but not limited to brochures, informational videos, newsletters, etc., and such uses are without further notice or obligation to me.
I hereby understand that there may be additional terms, conditions and releases required for the specific Summer Camp I am registering my child for. If applicable, that information will be provided to me by the camp director.