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centrestage@centrestagetheatre.ca
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Youth Theatre
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Youth Theatre Camp Registration
Campers Information
Choose Which Camp(s) You're Registering For
(Required)
July 3 - 7 | Foxy’s Retro-Fit (Musical) | Ages 5-7
July 10 - 14 | Dogs (Musical) | Ages 9-15
July 17 - 21 | Thumbelina (A Mini Musical) | Ages 5-7
July 24 - 28 | Knights and Dragons | Ages 8-12
July 31 – Aug 4 | Lights, Camera Action! | Ages 9-15
Aug 7 - 11 | The Worn Slippers | Ages 8-12
Aug. 14 - 18 | Gunpowder Gertie: Pirate Queen | Ages 9-15
Students Information
Students Name
First
Last
Age
Health Card #
Health Card Expiry
Allergies or Medical Conditions
School attended
Theatre Experience, if any
Primary Guardian Information
Name
First
Last
Email
Primary Phone
Secondary Phone
Emergency Contact
Name
First
Last
Phone
Photo Release
I agree to the photo release
Please note: Photos may be taken by CentreStage during the camp and are the property of CentreStage Theatre. They may be used in future publications. Parents/Guardian will be contacted directly if a photo is to be used. No names will be used with the picture. I give permission.
Camp Consent
I agree to the following
I desire that the child named above participate in the CentreStage Theatre Camp and all its activities, unless I advise otherwise in writing. I agree that, having taken the precautions that, in your discretion, are deemed advisable, the theatre, its directors and its staff will not be held responsible for any sickness or accident to my child.
Payment Information
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(Required)
First
Last
Billing Address
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Street Address
Address Line 2
City
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Camp Registrations
Price:
Total
Method of Payment
Credit Card
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Registration is not complete until payment has been received. Cheques may be sent to
CentreStage Theatre Society
PO Box 742, Kentville, NS B4N 3X9
For more information, contact Lana
Credit Card
Cardholder Name
Card Details
E-Transfer your registration to donations@centrestagetheatre.ca
Please mail cheques to
CentreStage Theatre Society
PO Box 742, Kentville, NS B4N 3X9