Fosse Camp Registration Form

Fosse Camp Registration Form

If you are registering for multiple people, please fill out this form separately for each person you wish to register.
Parent/Guardian Information
Parent/Guardian First Name *
Parent/Guardian Last Name *
Full Name
Parent Email *
example@example.com
Parent Phone Number *

Area Code Phone Number
Student Information
Is student new to Break a Leg Theater Works?

Yes No
Student First Name *
Student Last Name *
Student Email (if applicable)
example@example.com
Student Age
Student Grade
Student's School
Address

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Does the student plan on participating in the camp's final performance on February 23, 2020 at the Spire Center for Performing Arts?

Yes No Maybe Unsure
Any food allergies or medical conditions of which we should be aware?
Emergency Contact
Same as Parent/Guardian information above?
Name
Phone Number

Area Code Phone Number
Email
example@example.com
Class Selection

We are offering this camp as a full-week package, a three-day package, or a two-day package. Please select your preferred camp package below.
Camp Package
If you select either the two-day or the three-day package, you can attend any two or three camp dates, but the student must be present from Wednesday, February 19 through Saturday, February 22 to take part in the showcase dance numbers. As a result, it is recommended to take the 2-day or 3-day packages toward the end of the week.

Each class is from 10:00 AM to 3:00 PM.
2-Day Selection: Please choose 2 classes to attend.

Monday, February 17 Tuesday, February 18 Wednesday, February 19 Thursday, February 20 Friday, February 21
3-Day Selection: Please choose 3 classes to attend.

Monday, February 17 Tuesday, February 18 Wednesday, February 19 Thursday, February 20 Friday, February 21
Cost
Total

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