StageworX 2018 Registration
Last Name (Parent)
Your answer
First Name (Parent)
Your answer
Email Address
Your answer
Phone Number
Your answer
Street Address
Your answer
City
Your answer
State
Your answer
Zip Code
Your answer
How did you hear about StageworX?
We are trying to track our advertising efforts, so please be as specific as possible if you found us through one of our ads. Thanks!
Your answer
If a current camper referred you to StageworX, who was it?
Camper #1
Last Name
Your answer
First Name
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Current Grade
2017-2018 school year
T-Shirt Size
Camper #2
Last Name
Your answer
First Name
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Current Grade
2017-2018 school year
T-Shirt Size
Camper #3
Last Name
Your answer
First Name
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Current Grade
2017-2018 school year
T-Shirt Size
Camper #4
Last Name
Your answer
First Name
Your answer
Gender
Birthdate
MM
/
DD
/
YYYY
Current Grade
2017-2018 school year
T-Shirt Size
Payment
Who will be responsible for paying your child's camp tuition?
You will receive a copy of the PayPal invoice regardless of who is paying the tuition.
If someone else will be paying your child's camp tuition, please include their name and email address below:
This person will be CCed on the PayPal invoice sent to you.
Your answer
Would you prefer to pay your child's tuition in one transaction or split tuition into payments?
There are no extra fees to split your camp payments.
I would like to pay my child's tuition by:
You will get a PayPal invoice regardless of your preference. Instructions for payment by check or cash are included in the invoice.
Are you interested in AfterworX, our after-camp program?
The program runs 12 pm -2 pm after Mini Troupe and Troupe camps let out. This would be $90/camper for Mini Troupe (9 days) and $100/camper for Troupe (10 days). It would be a time where campers would eat lunch, play games, and have fun in the care of StageworX staff members. You are not committing to signing up at this time - we are just trying to gauge interest. Thank you!
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