2019 Swift Creek Mill Summer Camp Application (must be accompanied by deposit)
This form is valid ONLY with paid deposit or full payment. Make your deposit via swiftcreekmill.com/camp or by calling 804-748-5203. A new application is required per camper and per camp. All information is required (except comments). In the event camp is full, we will place you on the wait list, based on your preference below. We never sell or send your personal information to third parties.
Email address *
Camper's First and Last Name *
Your answer
Mailing Address (Number and Street or PO Box) *
Your answer
City, State, Postal Code *
Your answer
Previous Camper at the Mill? *
Required
Gender *
Age *
Your answer
Date of birth *
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/
DD
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YYYY
Grade Entering *
Name of School *
Your answer
Parent/guardian name and relationship to camper *
Your answer
Parent/Guardian preferred email address *
Your answer
Parent/guardian daytime phone number *
Your answer
Alternate emergency contact name and relationship to camper *
Your answer
Emergency contact's phone number *
Your answer
Special needs (dietary, physical, medical, allergies) *
Your answer
Camp Session Choice
There are two camp sessions: Exploratory Camp and Performance Camp. Each is Mon-Fri, 10:00 am - 5:00 pm and includes lunch and t-shirt. Exploratory camp is one week with variety show on Friday at 3:30 pm. Performance camp is three weeks with public evening performances August 9 and 10 at 7:00 pm. Tickets are available for purchase separately at swiftcreekmill.com/camp.
Please select *
If camp is full when you apply, would you like to be placed on the waiting list? You will be notified if spaces open. *
T-shirt size *
Are you interested in Before Care (drop-off between 8 - 10 AM) for your camper? *
Swift Creek Mill Theatre has permission to use my child's photograph for publication purposes (name will not be shared). *
Required
Any comments for Children's Theatre staff?
Your answer
How did you hear about our camps? *
Required
Payment/Deposit Agreement
By checking the following you acknowledge that your application is valid only when accompanied by the corresponding deposit or full payment, which can be made at swiftcreekmill.com/camp or by calling 804-748-5203. Space cannot be held for applications not accompanied by the deposit. ****You further acknowledge that ANY BALANCE must be paid by calling or visiting the office.****
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Required
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