Broadway Bootcamp Winter 2024 Acting 
Theater Workshop for Ages 9-12
Mondays 4:00-5:15 pm. 
 Jan 22- March 25  (no class Feb 19 Presidents Day)
                                                               
Conveniently located in Chatham! 
Chatham United Methodist Church 
460 Main Street, Chatham NJ 

REGISTER IN 1-2-3 STEPS
1. Complete this online form and click SEND button (top right of this page)
2. Print out release forms and sign 
3. Mail in release forms and check/or VENMO @Jadnyc33 Also you can send screenshot of signed parent contract if you prefer. 

To complete registration please mail signed parent contract (and check) to:
BROADWAY BOOTCAMP, LLC
Box 1001
Chatham, NJ 07928 
$350 total 

PLEASE CLICK SEND BUTTON AT THE TOP RIGHT OF THIS PAGE to complete registration 
You should receive a confirmation email after we receive your forms in the mail. Check back with us if you do not hear within a week after mailing.  
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Camper's Name *
Child's Sex *
Current GRADE *
Birthdate *
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Age  *
Camper's Address *
Name of Child's School 
Primary Parent Name  *
Primary Parent Cellphone *
Primary Parent Email *
Emergency Contact  *
Name and phone number of adult with a car who can pick up your child locally immediately if necessary. 
*New Students only**:
Performance Experience
Any special needs we should know about your child (allergies, ADHD, anxiety etc) 
Has child attended a Broadway Bootcamp program previously? 
What do you look forward to learning in class?
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