Theater Plus! Summer 2018 Enrollment Form
Welcome to Theater Plus!

Please use this form to enroll in one of our Summer 2018 programs.

You have the option of paying online through Square Up. The link to that secure online payment site is included in this form. You must navigate to the Square Up website to pay online, you cannot pay online through this form.

If you have any questions, please contact the Program Director, Stacey Shanahan at stacey@theaterplus.org or 781-308-7916.

Email address *
Camper's First Name *
Your answer
Camper's Last Name *
Your answer
Grade in school (in September 2018) *
Date of Birth *
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/
DD
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Name of School
Your answer
Mailing Address *
Your answer
Town *
Your answer
State *
Your answer
Zip Code *
Your answer
Parent/Guardian Email Address *
Your answer
Parent/Guardian #1 Name *
Your answer
Parent/Guardian #1 Contact Phone Number *
Your answer
Parent/Guardian #1 2nd Phone Number
Your answer
Parent/Guardian #2 Name
Your answer
Parent/Guardian #2 Phone Number
Your answer
Emergency Contact Name and Relationship to Camper *
This person will only be contacted in an emergency, if Parent/Guardian #1 and #2 cannot be reached.
Your answer
Emergency Contact Phone Number *
Your answer
Is the participant allergic to anything? *
Required
If yes, please list allergies:
Your answer
Does the participant have any physical limitations? *
Required
If yes, please list physical limitations:
Your answer
Is there anything that you would like us to be aware of?
Your answer
During the course of the session, we may take photographs and videos of our actors and techies working on our shows. Do we have your permission to use these photographs/videos in our publicity? *
Required
Which program are you registering for? *
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