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902-678-8040
Information
902-678-3502
centrestage@centrestagetheatre.ca
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Youth Theatre Camp Registration
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
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
Name
(Required)
First
Last
Billing Address
(Required)
Street Address
Address Line 2
City
Alberta
British Columbia
Manitoba
New Brunswick
Newfoundland and Labrador
Northwest Territories
Nova Scotia
Nunavut
Ontario
Prince Edward Island
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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
Please mail cheques to
CentreStage Theatre Society
PO Box 742, Kentville, NS B4N 3X9