Broadway Intensive Theatre Camp and Show
Registration Form
Thank you so much for your interest in this program exploring children’s passion for the theatre arts and inspiring them to embrace their creative souls!
Parent Full Name *
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Phone (WhatsApp Prefferred) *
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Email *
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Child's Full Name *
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Child's Date of Birth *
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My kid is a..... *
School/Program your child is attending *
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How would you describe your child’s English proficiency? *
Any previous experience with theatre, drama, performing arts, dance, music or singing *
Dates you'd like to join *
How did you hear about the Broadway Intensive Musical program?
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T-Shirt Size
Payment Information
Your registration will be completed and your spot will be secured once payment is made. We accept payment via bank transfer only. Please make payment to:

Account Name: Hadi Lazuardi
Account Number: 4281877717
Bank Name: Bank Central Asia (BCA)

Please send a copy of the 'Transfer Receipt' to or 0821-1399-5110 (WA). A confirmation will be sent to you once we verified that payment has been received.

Contact Info or +62821-1399-5110
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