Summer Camp Registration 2017
"Theater Geeks"
Student's Last Name *
Your answer
Student's First Name *
Your answer
Student's Grade *
Grade in the Fall of 2017
Your answer
Student's Birth Date *
MM
/
DD
/
YYYY
Student's Tee Shirt Size *
Performance Group Preference *
Comp Ticket Preference *
How did you hear about us? *
Parent /Guardian's Last Name *
Name as it appears on credit card or paypal account
Your answer
Parent First Name *
Your answer
Email Address *
Please use email address of parent or guardian
Your answer
Mailing Address *
Your answer
City *
Your answer
Zip Code *
Your answer
Home Phone
Your answer
Cell Phone *
Please use cell phone number of parent or guardian
Your answer
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