Circle Theatre Summer Camp 2019
Please complete the following and either pay the full amount ($100) or a $50 deposit per student to hold a spot in Camp.

If registering more than one person for Summer Camp, please fill out separate forms for each participant.

Email address *
Parent/Guardian Name *
Your answer
Parent/Guardian Cell Phone Number *
Your answer
Home Mailing Address *
Your answer
Camper's Full Name *
Your answer
Camper's Age *
Camper's T-Shirt Size - ($12 Fee payable when you pay on the Square page for camp.)
Special Needs (Allergies, Dietary, etc...) or other important information - This will be kept confidential. *
Your answer
Emergency Contact #1 - Name (Authorized Person to Pick Up Student from Camp) *
Your answer
Emergency Contact #1 - Cell Phone Number *
Your answer
Emergency Contact #2 - Name (Authorized Person to Pick Up Student from Camp) *
Your answer
Emergency Contact #2 - Cell Phone Number *
Your answer
Emergency Contact #3 - Name (Authorized Person to Pick Up Student from Camp)
Your answer
Emergency Contact #3 - Cell Phone Number
Your answer
Emergency Contact #4 - Name (Authorized Person to Pick Up Student from Camp)
Your answer
Emergency Contact #4 - Cell Phone Number
Your answer
Please select the Correct Week that your Student will be Attending *
Payment Options
The fastest way to pay the registration fee/deposit is with our Square pay online method.

To do this you need to visit the link https://squareup.com/store/circle-theatre-of-barnwell

*Scroll down and select which Summer Camp payment option you would like to make (two
buttons for $50/deposit or the full $100/student).

You can also pay for the Summer Camp T-Shirt on the Square page. All Shirts must be paid in advance.

You may, of course, still pay via check made out to "Circle Theatre" and mailed to P.O. Box 92, Barnwell SC 29812.

A copy of your responses will be emailed to the address you provided.
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