Please fill out the below information to register and pay for Summer Camp classes.  Payment will be made through PayPal
You can also print the Registration Form above and drop it off at our location or mail with a check
.


NOTE:  There is a $35 registration fee for all Campers not already enrolled in the Academy.
All Camps are for Kids 9 & Up

 
     
 
*marks required fields
 
     
 
*Student's Name:
*Sex
Male Female
*Birthdate
*Parent's Name:
*Address:
*City
        *ST:      *Zip
*Home/Cell Phone
 
*Email
   
           

 
Mom's Name
Dad's Name
Mom's Cell
Dad's Cell
Mom's Email
Dad's Email
         
*Emergency Contact   *Phone
   

   
*Instrument Interested In:         *School:        *Music Teacher:   
       

       
Classes:      
Singer Songwriter Camp - $225
Intro to Acting - $210
An Actor's Life For Me - $275
Class 15
Class 18
Class 19
   
This student is currently enrolled at The Playroom Academy .
This student is currently NOT enrolled at The Playroom Academy. These will be the first classes taken.
(Subject to $35 Registration Fee)


Current Total $0


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required