Transcript Balance (due June 15, 2014)……….…

2014 Registration Form
Mail To: K.I.D.S. Summer Conservatory
9702 Gretchen Lane
Ellicott City, MD 21042
Minimum enrollment - 30 • Maximum - 60 per session
All registrations must include deposit and be received by June 15, 2014.
A $25 fee will be assessed for any returned check.
Students Name
Grade
School
Home Address
City
Home Phone
2014 Summer
Conservatory Sessions
Through the mounting of a full scale musical
production, campers will study acting, singing, and
dancing. They will also work on various theatre
skills from improvisation to character study.
Campers will participate in an audition master
class to prepare for the show audition and beyond.
This is a wonderful opportunity for students to
acquire a solid foundation in theatre and build self
confidence in a fun and safe environment with a
staff who are professionals in both the field of
teaching and performance.
Mother’s Name
For more information, call 410-715-0454
Email – [email protected]
Cell
Email
www.kids-drama.com
Cell
Email
Enrolling In:
Session 1: Annie
Session 2: Bye Bye Birdie
Please check T-Shirt Size:
XL
Deposit due June 1, 2014 - $250
Non-refundable after June 15, 2014
Tuition (Includes Deposit) - $525
Sibling Discount AFTER one full payment - $50
Early Enrollment Discount if tuition is
paid in full by February 28, 2014 - $25
AM Extended Care - $30
Ellicott City, MD
June
30th
through
July
18th
Monday
through
Friday
9 -3 PM
At CHS
Bye Bye Birdie tells the story of
Conrad Birdie, an Elvis Presley type
who is about to be inducted into the
army. Girls of all ages are in an uproar which presents the perfect
publicity stunt to be launched by his
agent…Conrad will bid a typical
American teenage girl goodbye with
an all-Amercian kiss on the Ed
Sullivan Show. But who will it be???
Captivating, imaginative and
frivolous fun!!!
This session is open to current Grades K-5
Performances of Annie
July 17th and 18th
Performance time: 7:30 at CHS
July
21st
through
August
8th
Monday
through
Friday
9-3 PM
At CHS
~~~~~~~~~~~~~~~~
PM Extended Care - $70
Total Fees
Total fees paid today
Balance Due June 15, 2014
No refunds will be given if camper drops out.
Parent/Guardian Signature
Located at Centennial HS
or visit our website:
Father’s Name
Youth: M
L
Adult: S
M
L
Please make checks payable to K.I.D.S LLC
2014 Summer
Conservatory Sessions
Date
Camp hours are the same for
K.I.D.S. and Teen K.I.D.S.
Mon - Fri, 9-3 PM
This session is open to current Grades 5-12
Performances of Bye Bye Birdie
Aug 7th and 8th
Performance time: 7:30 at CHS
Limited Space - Register Today!
Campers have use of the entire CHS drama and
music wing, as well as the auditorium and stage!
Our Daily Schedule
Hours
9:00 AM
9:30 AM
11:00 AM
12:00 PM
1:00 PM
1:30 PM
2:00 PM
3:00 PM
Activities
Warm-ups & Games
Staging Scenes & Blocking
Music
Lunch
Theatre Games &
Improvisation
Choreography
Review
Dismissal
Tuition
Tuition ………………………………..…..$525
Deposit (due June 1, 2014)………..…...$250
Non-refundable after June 15, 2014
Balance (due June 15, 2014)……….…...$275
Sibling Discount after one full tuition:…... $50
Early Enrollment Discount
If tuition is paid in full by February 28, 2014...$25
No refunds will be given if camper drops out.
Extended Care
Extended Care available per session
Before…………………………………….$30
After………………………………………$70
Extended Care Hours:
Before………………………………….8AM - 9AM
After……………………………………3PM - 5PM
K.I.D.S. 2014 Summer Conservatory
Is sponsored by CLES PTA
About the Staff…
Stevie Brouillet, founder and managing director of K.I.D.S.
has been a teacher in the Howard County school system for
over thirty five years. Since founding K.I.D.S., Ms. Brouillet
has produced a wide variety of shows including The Music
Man, Annie, Beauty and the Beast, Oklahoma!, High School
Musical and Peter Pan. She will serve as camp director.
Kurt Boehm, (Director/Choreographer), most recently
served as choreographer and director for Footloose, Zombie
Prom, Grease, Urinetown & Joseph…Dreamcoat for Teen
K.I.D.S. Summer Conservatory. He also has taught at
Columbia Center for Theatrical Arts, Creative Artists Institute,
and Creative Cauldron. Mr. Boehm recently choreographed
The Keegan Theatre’s production of Rent and Spring
Awakening. Mr. Boehm has performed at the Kennedy
Center, Signature Theatre, Arena Stage, Ford’s Theatre,
Adventure Theatre, Olney Theatre, Theatre of The First
Amendment and Toby’s Dinner Theatre. Mr. Boehm
graduated from The Catholic University of America,
Bachelor’s in Music with a concentration in Musical Theatre.
Kathryn Carlsen, (Director) will be co-directing the Teen
K.I.D.S. production. Most recently, she co-directed Footloose,
Zombie Prom, Grease, and Urinetown with Teen K.I.D.S. For
the past ten years, she has been the theatre teacher at
Centennial High School. She is also the Education Director for
the Baltimore Improv Group. She has worked as a camp
director and counselor at Slayton House Camp of the Arts.
Ms. Carlsen has performed at the Studio Theatre, Creative
Alliance, Theatre Project, and Everyman Theatre. She
received her bachelor’s degree from UMCP in Theatre and
English Education and her master’s degree in Theatre
Management from Brooklyn College.
David Little, (Music Director) has worked as a music
director and teaching artist for Adventure Theatre MTC and
Columbia Center for Theatrical Arts, and has taught music at
Kidville in addition to having a private piano studio. David is a
Helen Hayes Award nominated actor who performed OffBroadway in the original production of Bob Marley’s Three
Little Birds at the New Victory Theatre. Regionally, he has
worked at Shakespeare Theatre Company, The Studio
Theatre, Signature Theatre, Adventure Theatre, MTC and
Toby’s Dinner Theatre. David earned a Bachelor of Music in
Voice and Music Industry with a minor in Theatre from James
Madison University. (www.davidjohnlittle.com)
Emergency Information
Emergency Contact:
Phone:
Please list any allergies or other medical concerns:
Release
I, as the parent or legal guardian of the above-named child,
hereby give permission for his/her participation in this activity. I
further authorize, without my prior approval, the rendering of any
emergency medical treatment should the above-named child
become ill or injured while participating in this activity.
In consideration of the permission granted to the above-named
child to participate in this activity, I do hereby agree, on my
behalf and on the behalf of the above-named child, to release
the teachers/directors, Centennial Lane Elementary School PTA
(CLES PTA) and their officers, members, agents, volunteers
and representatives, from any and all actions, causes of action,
damages, claims or demands of whatever kind of nature which I
or the above-named child may have against the CLES PTA, or
the other above-listed parties for any injuries, known or
unknown, which are incurred by, arise from or in any way relate
to the above-named child’s participation in this activity.
I have read this release and fully understand its terms. I execute
the release voluntarily and with full knowledge of its significance
and consequences.
(Please make a copy of this form for your records.)
Parent/Guardian Signature
Date