Summer camp application
CAmper Information
Camper's Gender
Parent Information

(Legal Adult Campers Skip This Section)


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Preferred Method of Contact

(Weekly group lessons, private coaching, private lessons, career consultations, semi private group lessons, skype coaching, skype lessons, etc.)

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Refund Policy and
Disclaimer and Release

All tuition payments and deposits are non-refundable and non-transferrable. There are no refunds or transfers of any kind, including late arrivals, early withdrawals, non-arrivals, your child booking a professional job, homesickness or dismissal. Fees do not include outside medical care or prescriptions, transportation, to and from camp, or housing while in the Los Angeles area.

Virtual Summer Camp Tuition Information:


A deposit of 898. is required to hold your spot in camp. Balance of 897. due by June 30, 2020:
Total for the week 1795.

Parental Release

I understand that drinking, smoking (or the possession of alcohol, tobacco, weapons, or illegal substances), stealing, threats, acts of violence, unruly behavior or sexual contact of any kind results in immediate dismissal from camp with no refund. I, the undersigned, fully understand and agree that the organizers, owners, instructors, counselors and administrators of Cynthia Bain’s Acting Intensive Summer Camp shall be free from any liability of claims arising by reason of any injury or illness during the camp session. Permission is hereby granted to transport my child to a doctor or hospital in case of illness or injury and to authorize emergency treatment when unable to locate parent. I am responsible for health and accident insurance and to notify the camp if there are any allergies or other pertinent medical information.


I understand that student activities may be documented during the camp sessions. I give Cynthia Bain’s Young Actor Studio permission to use photos, video, or voice recordings of my child in productions for public relations, marketing, archival, and other purposes in keeping with the mission of the school.


I have read and understood all of the above as well as the supplied Camp Rules and Regulations. By signing this application electronically, I hereby agree to all stated rules and certify that all information I have submitted for this application is complete and true to the best of my knowledge. I understand that knowingly providing false, incomplete, or misleading information may be grounds for denial or dismissal from camp.

I Have Read & Agree to Above
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★Everyone at #CBYAS holds the legally required Child Performer Services Permit (CPS)

We hope to see you in the studio soon!

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