Summer Camp Registration 2024
Register your child for Center Stage's summer theater day camp. Your spot will be confirmed once we receive registration and payment.

The Little Mermaid: July 1st - 12th (No camp on July 4th)   9:00am-4:00pm    ($350)
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Child's First Name *
Child's Last Name *
Age *
Grade Next Fall *
T Shirt Size *
Address (street, city, and zip) *
Parent/Guardian Name(s) *
Parent/Guardian Phone Number(s) *
Parent/Guardian Email *
Emergency Contact Name (other than parent) *
Emergency Contact Phone Number *
Allergies
Current Prescriptions
Please let us know about any physical, emotional, or mental needs your child may have
Do we have permission to take your child to the nearest hospital if deemed necessary? *
By checking this box I acknowledge that I am the above child's guardian and release liability to authorize Center Stage Theater to provide first aid medical attention. *
I _________ the use of my child's image on the Center Stage Theater website, or any other publication, flyers, or promotional materials. *
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