Clone of Future Stars DCC 2026 Registration

FUTURE STARS: YouthLab Summer Camp 2026 (TheatreLab Location)

July 27-31. Each camper will require their own registration.
Camper's Name

First NameMiddle NameLast Name
Birth Date

MonthDayYear
Age
Grade in the Fall
Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip CodeCountry
Parent/Guardian E-mail
Mobile Number

Area CodePhone Number
Work Number

Area CodePhone Number
Emergency Contact

First NameLast Name
Emergency Contact Number

Area CodePhone Number
Physician's Name

First NameLast Name
Physician's Phone Number

Area CodePhone Number
List all known medical conditions (including allergies to food or medications
List any and all over-the-counter and/or prescription drugs taken regularly
Medical Insurance
Insurance Policy Number
Medical information is needed in the event of an emergency and the parent/guardian cannot be reached. Marking the selection below will act as your signature & authorization for emergency medical care
I give permission and consent for my child (listed on this application) to allow photographs to be taken during YouthLab camp session activities. I further give permission and consent that any such photographs may be published and used by TheatreLab Dayton to illustrate and promote the camp experience. I release TheatreLab Dayton / Dare 2 Defy Productions from all claims, demands, and liabilities whatsoever in connection with above. Marking the selection below will act as your signature & authorization for show-related photographs.
How did you hear about our Summer Camp?

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Future Stars Camp - Ages 8-14$225.00

1 week - July 27-31, Mon-Fri 9a-3p

Quantity

Camp Scholarship Donation$1.00

Donations go toward YouthLab Scholarship

Quantity

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Total $0.00

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FUTURE STARS: YouthLab Summer Camp 2026 (TheatreLab Location)

My Products

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