CAMP ROXY! AT MUSKOGEE S HISTORIC ROXY THEATER

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ROXY ARTS INTENSIVE AGES 13-16 ü Workshop focused sessions. ü One- on- one time coaching allows the students to work with professionals to perfect skills in their preferred area of focus. ü Due to the one- on- one coaching, limited space is available. ü Beginners are welcome. ü Professional Performers, Vocal Coaches, and Choreographers will conduct workshops and one- on- one coaching. ü Experienced Performers will act as counselors to guide the students in their journey. ROXY ARTS INTENSIVE (July 10-14, 9:30 a.m. 12:30 p.m.) Performance: Friday, July 17 th at 5:30p.m. ROXY ARTS INTENSIVE (July 17-21, 9:30 a.m. 12:30 p.m.) CAMP ROXY Performance Camp AGES 6-12 ü FROM BEGINNERS TO EXPERIENCED! ü Each week is filled with FUN, SINGING, DANCING, ACTING, and CRAFTS! ü Themed Dress- Up Days! Healthy Team Competitions! ü Students will learn the essentials of performing! ü Gain self- confidence and stage presence in an exciting way! ü Divided into unique age groups! BROADWAY HITS (July 10-14, 1 p.m. - 5 p.m.) Students will have an unforgettable fairy- tale experience as they produce a theatrical performance! Performance: Friday, July 14 th at 5:30p.m. DANCING THROUGH THE DECADES (July 17-21, 1 p.m. - 5 p.m.) Students will have the opportunity to explore a variety of different music styles and techniques, producing an awe- inspiring musical performance! 1

ENROLL ONLINE: www.oxfordmuskogee.com OR ENROLL BY MAIL: Camp Roxy, P.O. Box 1039 Muskogee, OK 74402 ROXY ARTS INTENSIVE AGES 13-16 Mark the camps you wish to attend. ROXY ARTS INTENSIVE (July 10-14, 9:30 a.m. 12:30 p.m.) Performance: Friday, July 17 th at 5:30p.m. ROXY ARTS INTENSIVE (July 17-21, 9:30 a.m. 12:30 p.m.) Performance: Friday, July 24 th at 5:30p.m. CAMP ROXY Performance Camp AGES 6-12 BROADWAY HITS (July 10-14, 1 p.m. - 5 p.m.) Students will have an unforgettable fairy- tale experience as they produce a theatrical performance! Performance: Friday, July 14 th at 5:30p.m. DANCING THROUGH THE DECADES (July 17-21, 1 p.m. - 5 p.m.) Students will have the opportunity to explore a variety of different music styles and techniques, producing an awe- inspiring musical performance! Student Information: Name: T-Shirt Size: Age: Date of Birth: Gender: Please state any conditions, medications and any allergies of which the Roxy staff needs to be made aware. Parent / Guardian Information: Name Mailing Address Phone (home) (cell) E-Mail Address 2

In Case of an Emergency Contact: CAMP ROXY! 1) NAME PHONE 2) NAME PHONE Authorization of Emergency Care: I hereby authorize any physician, surgeon, or dentist on the medical staff of the nearest medical facility in Oklahoma, to administer any emergency treatment procedure or medicine necessary or advisable when Oxford Production s staff accompany my child to the emergency room at the nearest medical facility. I also authorize Oxford Production s staff to secure the use of an ambulance, if necessary for transporting my child to the hospital. I further agree to pay the hospital, doctors, and ambulance service for all services rendered to the above named patient. I request that this authorization remain in force as long as my child is enrolled as a participant in Oxford Production s CAMP ROXY. Signature Photo Release: I hereby give Oxford Productions the authority to use any photograph/video tape footage of my child for public relations purposes. Signature Liability Release: I am the parent/guardian of who is participating in Oxford Production s CAMP ROXY. It is my understanding that Oxford Productions and all persons acting on its behalf will do their utmost to assure that my child will be safe at all times. Nonetheless, I understand that this camp involves a high level of physical activity and Oxford Productions cannot assume responsibility for any injury which may occur. Signature Cost: v Early Bird Tuition: $65.00 per week (If Enrolled by June 1, 2017) v Standard Tuition: $70.00 per week (If Enrolled after June 1, 2017) o Includes Camp T-Shirt, Daily Snack and All Performance Materials v A deposit payment of $30.00 is required to reserve your spot in the camp, the remaining balance will be due the first day of camp. Payment Options: Please attach one of the following payment forms to the application ü Full or Partial Scholarship (Attach Scholarship Application) ü Check (Payable to Oxford Productions) ü Cash ü Credit Card *Transactions will be charged a processing fee. Name on Card: Visa / Discover / Master Card / AMEX Exp. Date: / / Card Number: 3-Digit Code on Back Zip Code Return Forms: Ø CAMP ROXY: 220 W. Okmulgee Muskogee, OK 74402 Total Enclosed Payment: 3

Scholarship Application CAMP ROXY! Please return this application with the enrollment form. Date of Application: Indicate your need: Full Scholarship Partial Scholarship How much are you able to pay? $ How far do you travel to camp? School System? (i.e. Muskogee Public Schools, Hilldale, etc) Please describe the need for the financial assistance: Please list other involvements, or organizations in which your students participates: Please describe why this camp is important for your student to attend: 4

Volunteer Mentor Application Please return this application with the enrollment form. Which Camps are you enrolled. (Must be enrolled in one of the Roxy Arts Intensive) Roxy Arts Intensive: July 10-14 Roxy Arts Intensive: July 17-21 Name: Phone Number: E-Mail: Relevant Experience (include CAMP ROXY experience): Why are you applying to be a volunteer mentor? What qualities do you have that will enable you to inspire, encourage, and educate younger students? 5