MagikTheatreCampRegistration

The Percy Jackson Musical Theatre Experience!

Session 1: July 10th-14th Camp Registration
Please select your camper's age group: *
If the camp you would like to register for is no longer available, you may join our waitlist by filling out this form: WAITLIST
Camper Information
Camper's Name*

First NameLast Name
Birth Date*

MonthDayYear
What are your camper's preferred pro-nouns?
Grade in the Fall*
Please select your camper's t-shirt size*
Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Parent/Guardian Information #1
Name*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
E-mail*
example@example.com
Parent/Guardian Information #2
Name

First NameLast Name
Relationship
Phone Number
Alt. Phone Number
E-mail
example@example.com
Emergency Contact Information

(other than parent/guardian information)
Emergency Contact*

First NameLast Name
Relationship*
Phone Number*
Alt. Phone Number
Please indicate in the space below, all persons authorized to pick up your camper, including guardians and emergency contacts.
Authorized Pick Up #1:   First Name*   Last Name*
Authorized Pick Up #2:   First Name   Last Name
Authorized Pick Up #3:   First Name   Last Name
Medical Information
Please list any medical conditions, medications, allergies, special needs, recent injuries, or behavioral accommodations/strategies we should know about to help your camper have the most successful and positive experience possible.*

Please select from the options below and submit the payment*

Group 1: 10yrs-11yrs

$500.00

Group 2: 12yrs-13yrs

$500.00

Group 3: 14yrs+

$500.00

AM Extended Care (8:00am-9:00am)

$100.00

PM Extended Care (4:00pm-5:00pm)

$100.00

AM & PM Extended Care

$175.00

Extra Camp T-Shirt

$10.00 QuantitySize

Total

$0.00

The Percy Jackson Musical Theatre Experience!