Register For Acting Loft Summer Camp Now!
Summer Camp Registration Form
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indicates required fields
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Student's Last Name:
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Student's First Name:
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Street:
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City:
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State:
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Zip Code:
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Parent's Names:
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Primary Phone:
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Secondary Phone:
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E-mail:
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T-Shirt Size:
Child Small
Child Medium
Child Large
Adult Small
Adult Medium
Adult Large
Adult X-Large
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Select Summer Session:
Session 1: July 9-July 20
Session 2: July 23-August 3
Session 3: August 6-August 17
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Camp Fee: See Matrix for multi-session fees:
$350
$675
$975
$1325
$1900
$2800
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Method of Payment:
Credit Card
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Credit Card Number:
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Expiration Date:
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Name On Card:
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Emergency Contact Name:
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Emergency Contact Phone:
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Emergency Contact Alternate Phone:
Please list any specific medical conditions:
Please list any allergies:
Additional Notes:
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Camper's Age:
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Please Tell Us How You Heard About The Acting Loft: