Grandstage Musical Theatre Camp

Grandstage Musical Theatre Camp 2020

Aug 3rd-14th ~ Mon-Fri ~ 1pm-4pm ~Ages 8-14
Student Name *

First Name Last Name
Student Age *
T-Shirt Size
Address *

Street Address

Street Address Line 2

City State / Province

Postal / Zip Code
Parent/Guardian Name *

First Name Last Name
Parent/Guardian Email *
example@example.com
Phone Number *
Emergency Contact *
Emergency Contact Phone Number *
Please enter a valid phone number.
Doctor's Name/ Office *
Doctor's Phone Number
Please enter a valid phone number.
Insurance Company Name
Insurance Number
Special circumstances we should be aware of while your child is participating in Musical Theatre Camp i.e. allergies, medications, etc.

Tuition *

Early Registration! Only valid before June 30, 2020!

$ 250.00

Regular Registration Choose if after June 30th

$ 275.00

Total

$ 0.00

I hereby give my child permission to participate in the Mon River Arts Musical Theatre Camp. While I realize that all precautions will be taken to guard my child from injury, I will not hold the Grandstage Theatre Camp, Mon River Arts, its camp staff, or the Grand Theatre responsible for accidents that occur. I also give my permission for my child to be photographed for promotional purposes.
Signature

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Grandstage Musical Theatre Camp 2020