Outta Theatre Summer Camps

Student Name

First NameLast Name

Age & Grade Entering

Allergies/Special Needs

Parent Name(s)

Address

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code

E-mail

Phone Number

Area CodePhone Number

Emergency Contact Info

Enrolling in which camps

What is the student's piano experience?

Does student have a portable keyboard they can bring to piano camp?

Please indicate student's theater experience, if any:

Permission to use photos & videos for marketing purposes including posters and online?

Would you like to subscribe to Outta Theatre's email updates?

PAYMENT INSTRUCTIONS

Once form is submitted, please go to http://www.outtatheatre.com/pay/ and scroll down to Summer Camps and add the appropriate items to your PayPal cart. Once registration is complete, you will be sent a confirmation of registration and payment within 24-48 hours.

My Products

Bible Theatre Camp $300.00

Early Bird Tuition

Quantity
Item subtotal:

Bible Theatre Camp $300.00

Early Bird Tuition

Quantity
Item subtotal:

Piano Supply Fee$10.00

Quantity

Singing Olympics$38.00

Quantity

Singing Supply Fee$10.00

Quantity

Enter coupon

Total $0.00

Payment Methods

Debit or Credit Card

Choose from one of the PayPal options to make your payment.