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Hello world!

By: Teresa

On: August 12, 2018

In: Uncategorized

With: 0 Comments

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2018-08-12

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Kids Drama Camp Registration

Campers names and ages *

Please select desired shirt size (s)

Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult Extra Large

Parent/Guardian Name *

First

Last

Address *

Email *

Emergency Contact *

First

Last

Relationship to Participant *

Phone *

In an Emergency, which is best way to reach you? *

Phone
Text
Email

Insurance Information/Policy Number *

Company *

Policy Holder Name *

First

Last

Allergies and/or Required Medications

Payment Selection *

Individual ($400)
Family for 2 Campers ($700)
Family for 3 Campers ($900)
Family for 4 Campers ($1000)

Questions or other Information

Email

Drama Camp for Kids Payment