Broadway Bound 2022 Registration Form
Thank you for registering for Broadway Bound (for children aged 13+)! We can't wait for the time we'll spend together this summer.

If you are registering multiple children, please fill out a separate form for each child.

After payment is received ($575 per child), we will send a confirmation along with medical forms that must be completed by July 11.

If you have any questions, please email and we will get back to you ASAP! Space is limited, so please note that payments are non-refundable after June 25th.

Stay well,
- The BKC team
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Email *
Child's first name *
Child's last name *
Child's age on July 12th   *
Child's school *
Child's gender/pronouns
Child's T-shirt size *
Primary family street address *
Primary family city *
Primary family state *
Primary family zip code *
Primary family home phone number *
Parent 1 first name *
Parent 1 last name *
Parent 1 email address *
Parent 1 cell phone number *
Parent 2 first name
Parent 2 last name
Parent 2 email address
Parent 2 cell phone number
For payment: *
Please leave questions, comments, or additional information about your child below.
A copy of your responses will be emailed to the address you provided.
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