Center Stage Theatricals Summer Camp Registration for SHREK The Musical
Dates:  June 24 to July 12, 
Location:  South Daytona Christian Church and School
2121 Kenilworth Avenue
South Daytona , FL

WEEK 1:  (June 24-27) Monday through Thursday  8:30 AM to 4:30 PM
WEEK 2:  (July 1-3) Monday through Wednesday, 8:30 AM to 4:30 PM 
WEEK 3:  (July 8-12) Monday through Friday, 8:30 AM to 4:30 PM
2 Evening Performances Thursday and Friday, July 11th and 12th; 7:30 PM

Please Note:  Registration is not complete until $100 non-refundable deposit or full tuition is paid.  
Tuition is $450 per child, $75 off each additional child.
Tuition includes:  
-96 camp hours during the 12 days
-2 evening performances
-Camp t-shirt
-Cast Party with food, drinks, prizes and awards
-A digital copy/download of the performance video shot and edited by a professional 

Paymets can be made digitally or by sending a check made out to 
David Bell
153 Seminole Dr.
Ormond Beach, FL 32174

Venmo - @David-Bell-266
Cash App - $DaveMBell
Zelle - (386)322-5812



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Email *

Child's Name

*
Parent/Guardian Name *
Parent /Guardian Email Address *
Parent/Guardian Phone # *
Age of Child as of June 24, 2023 *

Identifies as  

*
T-shirt Size:  Please be accureate, as these are often used as costume pieces during the show. *
What Grade will the student be going into NEXT YEAR? *
List any medical conditions or alergies, especially food alergies,  that may affect your childs participation in camp.  Please indicate if your child takes regular medication during camp hours or needs an epi-pen or the like, kept with a staff member or stored in the office. *
The following adults have my permission to pic up my child from camp:  (Please include name,  relationship, and phone #. ) *
Additional Emergency Contacts - Include name, relationship and phone #. (If these are the same as those listed above, then type "same as above.") *
Terms of Agreement
Terms of Agreement and Media Release

My child/childen and I have read and understand the terms of agreement.
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Required
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Participation Waiver
WAIVER:  By entering my name and the date, I am stating that I have read and understand and am signing the above participation waiver. *
Date *
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