Registration

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Rising Star Participants will spend 9 days learning skills to become a triple threat along with production numbers from various Hit Broadway shows. Camp culminates with a live performance for family and friends. Monday- Friday 9-12 pm June 26-July 7th **no class on July 4 *Early Bird Special* Sign up before April 15th and pay $199 for camp!! $75 non refundable deposit required

Event:

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Fee per Student:

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Family Information

	First Name:*	Last Name: *
	Type*
	Home Phone:	Cell #: Work #:
	Email:*	(Emails are kept confidential)

	Address: *
	City: *	State: * Zip: *
	Emergency Contact Info (Not Contact #1 or #2)*

Students entered below will be added to your family's account

Add New Student #1:

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	Student's First Name: *	Last Name: *
	Student Gender: *	Birth Date: * (format=mm/dd/yyyy)
	Student Email:
	School:*	Grade Level:*
	Disabilities (Leave blank if NONE):
	Allergies (Leave blank if NONE):
	Medications (Leave blank if NONE):
	Primary Doctor:

Questions/Options:


What size T-shirt for your student? Please choose from youth extra small, small, medium, large or extra large.

Additional Information:

Agreement for Participation

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Release & Hold Harmless

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Photo & Video Release Form

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Payment Policy

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