Rag & Bone Shakespeare Camp Registration

Shakespeare Summer Camp Registration

July 6 to July 24, 2026
Camper's Name*

First NameLast Name
Pronoun
Preferred name (if different from above)
Camper's birthdate*

MonthDayYear
Date of birth
Primary Contact
MotherFatherLegal GuardianOther
Name*

First NameLast Name
Home Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Daytime phone number*

Area CodePhone Number
YesNo
Work number

Area CodePhone Number
Other phone number

Area CodePhone Number
Preferred E-mail*

Emergency Secondary Contact Information
Name*

First NameLast Name
Daytime phone number*

Area CodePhone Number
YesNo
Work number

Area CodePhone Number
Other phone number

Area CodePhone Number
MotherFatherLegal GuardianOther
YesNo
Others who may pick up your child from camp:

Personal information
Both parentsMotherFatherLegal GuardianOther
YesNo
If yes, please describe them, and tell us about any medical instructions or accommodations required onsite.