Participant Name: (Required)
Last Name:
First Name:
Mailing Address: (Required)
Street:
City:
State:
Zip Code:
Date of Birth: (Required)
Home Phone: (Required)
() -
Cell Phone: (Required)
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Email Address: (Required)
Gender: (Required)
Male  
Female  
School: (Required)
Parent/Guardian Name: (Required)
Last Name:
First Name:
Parent/Guardian Home Phone: (Required)
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Parent/Guardian Cell Phone: (Required)
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Parent/Guardian Email Address: (Required)
Camp: (Required)
 
Title: Matilda
Audience: K to 4th
Meeting Dates: February 27th, March 12th, March 19th, April 2nd,March 5th,(No class March 26, Easter Weekend)
Class Time: Classes run 9 am to Noon
Location: Dobbins Center, Room 114
Deadline: 2016-02-24
Cost: $150.00
 
Title: Acting
Audience: 5th to 8th
Meeting Dates: February 27th, March 12th, March 19th, April 2nd,March 5th,(No class March 26, Easter Weekend)
Class Time: Classes run 1 pm to 4 pm
Location: Dobbins Center, Room 114
Deadline: 2016-02-24
Cost: $150.00
Emergency Contact Information: (Required)
Name:
Phone:
() -
Relationship:
Special Needs and Accommodation (Medical/Allergies/Dietary Issues):
Cancellation Policy:
In the event that the University would need to cancel your designated camp a full refund will be returned back to participant and/or family in the form of a University check. In the event that you the participant and/or family will need to cancel your registration from attend your designated camp, you will receive a full refund up until 4 weeks from the camp. If you cancel within 4 weeks of the camp you will receive a partial refund.

**Partial Refund is a $50 loss from your camp registrations cost.