JavaScript isn't enabled in your browser, so this file can't be opened. Enable and reload.
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)
Sign in to Google
to save your progress.
Learn more
* Indicates required question
Child's First Name
*
Your answer
Child's Last Name
*
Your answer
Age
*
Choose
6
7
8
9
10
11
12
13
14
Grade Next Fall
*
Choose
1st
2nd
3rd
4th
5th
6th
7th
8th
9th
T Shirt Size
*
Choose
Youth S
Youth M
Youth L
Youth XL
S
M
L
XL
Address (street, city, and zip)
*
Your answer
Parent/Guardian Name(s)
*
Your answer
Parent/Guardian Phone Number(s)
*
Your answer
Parent/Guardian Email
*
Your answer
Emergency Contact Name (other than parent)
*
Your answer
Emergency Contact Phone Number
*
Your answer
Allergies
Your answer
Current Prescriptions
Your answer
Please let us know about any physical, emotional, or mental needs your child may have
Your answer
Do we have permission to take your child to the nearest hospital if deemed necessary?
*
Yes
No
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 do acknowledge
I _________ the use of my child's image on the Center Stage Theater website, or any other publication, flyers, or promotional materials.
*
allow
Submit
Page 1 of 1
Clear form
Never submit passwords through Google Forms.
This content is neither created nor endorsed by Google.
Report Abuse
-
Terms of Service
-
Privacy Policy
Forms
