Rising Stars Camp Registration
October 12th, 2019
8:00am- 4:00pm
Manchester High School

Registration Fee: $40.00
*Camp T-shirt
*Complimentary ticket to showcase performance
*Snacks and Water throughout the day
*Lunch to include a main item, chips & fruit
***options available based on dietary needs***

Please mail check to: (Please note student name in memo)
Manchester High School
c/o Robyn Kim/ RSC
12601 Bailey Bridge Road
Midlothian, Va 23112

or pay via Venmo: @MHSChoralBoosters23112 (Please make note that payment is for: RSC/Student Name)

If you have any questions, please contact Ryan Shapiro vie email: shapiroevents@gmail.com
Untitled Title
Student Name *
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Division *
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Home School Attended *
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Parent/Guardian Name *
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Parent/Guardian Phone *
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Parent/Guardian Email *
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Emergency Contact Name/ Relation *
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Emergency Contact Phone *
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Emergency Contact Email *
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Allergy Information- Please indicate allergy, reaction and treatment required. *
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Medical Release Permission- I authorize MHS/RSC to seek medical attention for my child in case of an emergency and parent/guardian or emergency contact listed above cannot be reached. *
T-Shirt Size *
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