Summer Camp 2023 Student Registration
We are SO excited you are registering to attend camp with Luminosity Theatre Academy! This is going to be a GREAT summer with lots of excitement and adventures for your student(s)!

*Please fill out a separate registration google form for each of your students.*  

Once you submit this form, please complete your registration process by submitting payment on the Luminosity Theatre Center website to secure your spot.

If you have questions or need assistance, please email us at luminositytheatre@gmail.com.

Can't wait to meet you!
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Parent/Guardian Name *
Phone number *
E-mail Address *
Student's Name *
Student's Age *
Student's Birthday *
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Emergency Contact Name and Phone Number *
Allergies or Medical Conditions we should know about *
Names of people allowed to pick up your child *
Which classes are you registering for? Please check all that apply. *
Required
Student T-shirt Size *
Required
How did you hear about us? Check all that apply. *
Required
Parental Consent and Liability Release: 

The undersigned has read the "Camp Guidelines" and does hereby give permission for the child named above to attend and participate in Luminosity Theatre Center's camps. I agree to WAIVE, RELEASE, AND DISCHARGE LTC from any and all liability. I agree any pictures taken during the class or production can be used by LTC in print media, LTC social media accounts, and on the LTC website for advertisement and promotional use. By completing your name in the electronic Signature, you are agreeing to the Luminosity Theatre Center Education Guidelines found on the registration page.

Please "sign" parent/guardian name below.
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