Musical Theater Camp Registration

MUSICAL THEATER CAMP REGISTRATION

Child's Name *

First

Last

Child's Age *

Child's Gender *

Has child had prior musical theater experience? *

If "Yes", dancing, singing, or acting? *

How long? *

Does the child have any special needs? *

If "Yes", please specify: *

Does your child have any known allergies? *

If "Yes", please specify: *

Parent/Guardian Name *

First

Last

Parent/Guardian Name - 2nd Contact *

First

Last

Email *

Email - 2nd Contact *

Phone Number *

Alt. Phone Number *

Address *

Line 1

Line 2

City

State

Zip Code

Country

Is anybody else authorized to pick up your child? *

If "Yes", please list the name(s) AND phone number(s) of those who are authorized: *

How/where did you hear about our camp? *

Submit