ATA Virtual Summer Camp Registration

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Please fill out completely to enroll in our virtual Summer Camp.

Email *

Student Full Name *

Age & Date of Birth *

Email Address (must check frequently) *

Phone Number *

Please Choose a Session *

Session #1: July 6th - July 17th MONDAY, WEDNESDAY & FRIDAYS 9:00-11:00am ($100)

Session #2: July 20th - July 31st MONDAY, WEDNESDAY & FRIDAYS 9:00-11:00am ($100)

Both Session #1 & #2 ($175) *$25 discount for both sessions

PARENTAL CONSENT:I agree by checking to follow all policies and procedures set forth by Academy of Theatre Arts. I accept the responsibility of reading and following all information communicated by the Academy. I further accept all responsibility of any potential risk associated with participating in a theatre class, and affirm that I have and will provide proper health insurance for my child’s protection. I give permission for emergency medical treatment of my child if a parent cannot be contacted. I hereby grant permission for my child to be photographed by Academy of Theatre Arts for publicity and/or production purposes. *

I agree.

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I would like to pay by... *

Credit Card

Mail Check

Please send me a Quickbooks Invoice

Credit Card Information

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