2024 Kid's Production Waitlist Form
Please fill out the form to be added to a waitlist for the camps that are full. We will contact you in the event a slot opens up.
Student Information
Name
*
First Name
Last Name
Student Gender
*
Please Select
Male
Female
Prefer Not To Answer
Other
School District
*
School Attended
*
Address
*
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Birthday
*
-
Month
-
Day
Year
Date
Age
*
Parent/Guardian Contact
Name
*
First Name
Last Name
Relationship to Student
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Emergency Contact
Name
*
First Name
Last Name
Relationship To Student
*
Phone Number
*
Please enter a valid phone number.
Email
*
example@example.com
Please list any previous dance or acting experience:
*
How did you hear about us?
*
I give permission for my child’s photo to be taken and used for publicity on social media or other promotional platforms.
*
Please Select
Yes
No
I understand that all sales are final and there are no refunds for classes even if we decide we cannot attend a class. I also understand that if I am unable to attend a session I have paid for that Creative Pursuits Academy will do their best to offer a different class within that same quarter of equal value
*
I agree
My Products
*
prev
next
( X )
Willy Wonka Kids Summer Morning Camp 9 am - 12 pm (1 week)
Rising Grades 1st - 8th
$
150.00
Willy Wonka Kids Summer Afternoon Camp 1 pm - 4 pm (1 week)
Rising Grades 1st - 8th
$
150.00
Note: No payment is due unless a slot becomes available.
Submit
Should be Empty: