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 broadwaykidscamp@gmail.com 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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