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
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Parent First Name
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Email Address
Please use email address of parent or guardian
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Mailing Address
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City
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Zip Code
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Home Phone
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Cell Phone
Please use cell phone number of parent or guardian
Your answer
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