Mercy Performing Arts Summer Camp Registration

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Mercy Performing Arts Summer Camp Registration

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* Indicates required question

Email *

Your email

Camper's Name *

Your answer

Birthdate *

MM

/

DD

/

YYYY

Grade entering next fall *

6

7

8

9

Parent Email Address *

Your answer

What school does the camper currently attend? *

Your answer

Street Address *

Your answer

Parent Phone Number *

Your answer

Emergency Contact Name *

Your answer

Emergency Contact Phone Number *

Your answer

Allergies: *

Your answer

Additional Information which will be helpful to camp staff *

Your answer

Camper's shirt size *

Youth M

Youth L

Youth XL

Adult S

Adult M

Adult L

Adult XL

Brief description of camper performance experience: *

Your answer

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