Stage Door Stars Camper Application Summer 2018
Thank you for your interest in the Stage Door Stars program. Please fill out the camper application below. Once your application is complete and submitted, someone from the Stars program will follow-up with you.

STAGE DOOR STARS: Theatre Camp for Children with Special Needs

CAMP LOCATION: MASSAPONAX HIGH SCHOOL- 8201 Jefferson Davis Hwy, Fredericksburg, VA 22407

CAMP DATES/TIMES: July 10-12 from 2-5 PM

APPLICATION DEADLINE: June 29 , 2018

COST: $100

SNACK: Please provide a snack for your child.

CAMPER ORIENTATION: Monday, July 2 from 6 PM- 7:30 PM Massaponax High School (library).

Please see our website for camp descriptions www.stagedoorproductions.org

***Stage Door Productions, Inc. is a nonprofit organization, whose purpose is to provide theatre through performances, education, and outreach. Stage Door Stars is an affiliate of Stage Door, whose mission is to further serve the community in theatre education and performance. The target population is school aged children with special needs up to 22 years of age.

Email address *
Child's Name *
Your answer
Child's Age *
Does your child have experience with theatre? (Including previous Stage Door Stars camps) This is informational only. Experience is not required. *
If yes, please give a brief description of his/her experience.
Your answer
Child's Date of Birth *
Your answer
Home Address *
Your answer
Parent/Contact Person Name *
Your answer
Parent Phone Number *
Your answer
Parent Alternate Phone Number
Your answer
Parent E-mail Address if different from above
Your answer
Emergency Contact Name *
Your answer
Emergency Contact Phone Number *
Your answer
Do you plan on attending camper orientation on Monday, July 2, 2018 from 6 PM- 7:30 PM Massaponax High School (library)? *
What method of payment will you use? *
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