Youth Theatre Camp Registration

Reservations 902-678-8040
Information 902-678-3502
centrestage@centrestagetheatre.ca

Campers Information

Choose Which Camp(s) You're Registering For(Required)

(WAIT LIST) Aug 7 - 11 | The Worn Slippers | Ages 8-12

(WAIT LIST) Aug. 14 - 18 | Gunpowder Gertie: Pirate Queen | Ages 9-15

Waiting List For The Worn Slippers

You will be contacted as soon as a vacancy becomes available. Please do not pay for your camp request until you are informed that there is an available spot.

Waiting List For Gunpowder Gertie: Pirate Queen

You will be contacted as soon as a vacancy becomes available. Please do not pay for your camp request until you are informed that there is an available spot.

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

Primary Phone

Secondary Phone

Emergency Contact

Name

First Last

Phone

Payment Information

Name(Required)

First Last

Billing Address(Required)

Street Address Address Line 2 City Province Postal Code

Camp Registrations

Price:

Total

Method of Payment

Credit Card

E-Transfer

Cheque

Cash

Payments via etransfer can be made to donations@centrestagetheatre.ca

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