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Broadway Revue Summer Camp Registration
Monday, June 17th-21st @ IDA Studio
Time: 8:30-4:00PM
Students MUST bring a bagged lunch, bottled water and wear appropriate shoes all week!
Email address *
Student's Name (Full) *
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Parent Name: *
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Parent's Phone Number *
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Student's Age: *
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Student's Current School *
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Student's Current T-shirt Size (Specify if Youth or Adult) *
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Allergies Your Student Has *
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Any Medications we need to be aware your child is taking/on. *
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Any other important information you feel the Innovation team needs to be made aware of *
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Emergency Contact Name and relation to student *
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Emergency Contact's Phone Number *
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