Audition Camp- Intended Mary Poppins Jr.
Student Name
*
First Name
Last Name
Age
*
Student Name
First Name
Last Name
Age
Student Name
First Name
Last Name
Age
Parent Name
*
First Name
Last Name
Parent Phone Number
*
Please enter a valid phone number.
Parent Email
*
example@example.com
Address
Street Address
Street Address Line 2
City
State / Province
Postal / Zip Code
Student allergies/medical conditions
Payment Method
*
PayPal
Venmo
Cash/check
Scholarship form pending
Submit
Should be Empty: