Name: Winter Break Music & Acting Camp
Ages: 5-9
Date: Friday, January 3rd, 2020
Time: 9:00-12:00 pm

Open the window to the imagination for your children! This exciting mini-camp will be overflowing with singing, instruments, acting on stage, games and a special craft. If your child loves all things creative, this is the place to be! Camp includes a small snack and bottled water. Bring your energy and come ready to have a blast

Click here for Winter Break Camp ages 10+

Start Date/Time: End Date/Time:
Fee per Student: Room:
* - denotes required fields
Family Information
First Name:* Last Name: *
Home Phone: Cell #: Work #:
Email:* (Emails are kept confidential)
Address: *
City: * State: * Zip: *
Students entered below will be added to your family's account
Additional Information:
Video & Photo Release
Lanti Performing Arts may take photos or videos of participants for training, advertising or other lawful business purposes. Any parent or student who does not wish to have their image recorded or photographed should make their wishes known in writing to
I've read the above and agree.
Medical Emergency
Unless written notice is given to the studio, permission is granted to Lanti Performing Arts and its operators to seek medical treatment for the participant in the event they are not able to reach a parent or guardian. Parent/Guardian must also submit written notice for any physical/mental problems, restrictions, or conditions.
I've read the above and agree.
Liability Release
Parents, legal guardians of minor students and adult students fully waive and relinquish any and all claims against Lanti Performing Arts and its owners, teachers, officers, agents and employees from injuries or damages as a result of participating in any activities or classes in any way associated with Lanti Performing Arts. I further agree to indemnify and hold harmless Lanti Performing Arts from any and all claims resulting in injuries, damages arising out of, connected with or in any way associated with the activities of any of the programs.
I've read the above and agree.
Enter your Full Name: *   
Other Questions/Comments:
Credit Card Verification:
Card Number: *  
Name as it appears on card: *
Card Expiration Month: *   Exp Year: *
Address Line 1: Address Line 2:
City: State: Zip:*