Encore Boot Camp

Participant Information

Participant name *

Street Address *

Apartment, suite, etc

City *

State/Province *

ZIP / Postal Code *

Birthday *

Month

Day

Year

Age *Participants must be between the ages of 7 and 18 during camp

School and grade entering in fall *

Any health concerns or medications the instructors should be aware of

Participant’s prior theater experience *

Parent/ Guardian Information

Parent/ guardian name *

Phone *

Email *

Parent/ guardian name

Phone

Email

Are either of these parents/ guardians the participant's emergency contact? *

Emergency contact

Phone

Relationship to participant

Session(s) Information

How many camp sessions will your child attend? *

Please select the session(s) your child would like to attend *

Godspell Jr (Ages 12 – 18) July 29 – Aug 2N/A

If a camp is full, it will not appear on the list.

Participant's t-shirt size *A camp t-shirt will be provided to each participant

Does your child have permission to appear in photos released to the media? *

Payment Information

A receipt will be e-mailed to the e-mail address provided for parent 1

Amount to be charged to card

USD

Each camp is $225. If you’re registering for multiple camps, please ensure the correct amount to be charged is entered.

Amount to be charged to card

USD

Each camp is $225. If you’re registering for multiple camps, please ensure the correct amount to be charged is entered.

Amount to be charged to card

USD

Each camp is $225. If you’re registering for multiple camps, please ensure the correct amount to be charged is entered.

Amount to be charged to card

USD

Each camp is $225. If you’re registering for multiple camps, please ensure the correct amount to be charged is entered.

Credit / Debit Card *

Payment is required at time of registration.

Junie B Jones Jr

Broadway Revue

Seussical Jr

Godspell, Jr