Summer Programs Sign Up 2022 Parent/Guardian Name * First Last * Last Email Address * Phone Number * Student Information Student’s Name * First Last * Last Birthdate * Any Allergies * Yes No Please list all allergies * logo required delete move drag clear noclear duplicate copy clone tooltip tooltip_solid forbid checkmark image checkmark circle checkmark square check check1 plus plus1 plus2 plus3 plus4 minus minus1 minus2 minus3 minus4 cancel cancel1 close report_problem_solid report_problem arrowup arrowup1 arrowup2 arrowup3 arrowup4 arrowup5 arrowup5_solid arrowup7 arrowup6 arrowdown arrowdown1 arrowdown2 arrowdown3 arrowdown4 arrowdown5 arrowdown5_solid arrowdown7 arrowdown6 arrow_left arrow_right filter download upload2 download2 hard_drive pencil_solid pencil signature register account_circle_solid account_circle address_card paragraph checkbox_unchecked checkbox checkbox_solid dropdown caret_square_down radio_unchecked scrubber location_solid location toggle_on toggle_off shield_check shield_check_solid clock clock_solid email_solid mail_bulk code tag tag_solid price_tags search sitemap file file_text_solid file_text option option_solid more_horiz more_vert more_horiz_solid more_vert_solid calculator key key Filled Key Icon keyboard eye eye_solid eye_slash_solid page_break view_day attach_file printer header h1 repeat repeater save sliders code_commit star star_full star_half linear_scale pie_chart stats_bars sms highrise mailchimp feed align_right align_left button browser cloud_upload_solid shuffle swap pallet fingerprint ghost heart_solid heart history import export label_solid label lock_open lock dollar_sign percent notification external_link pageview_solid pageview settings stamp support text white_label authorize activecampaign aweber campaignmonitor constant_contact getresponse googlesheets building hubspot icontact mailpoet paypal icon sendinblue sendy salesforce salesforcealt stripe stripealt twilio woocommerce wordpress credit_card credit_card_alt cc_amex cc_discover cc_mastercard cc_visa cc_paypal icon cc_stripe price product total quantity directory Zapier Preview SOLD OUT! Summer Teen Drama Program – High School Musical 2 $150/student May 31st – June 10th: 9am – 1pm Ages: Rising 6th Grade – High School Candle and Wax Melting Making Class 1 $70/student June 6th – 7th: 10am – 12pm Ages 7 and up Candle and Wax Melting Making Class 2 $70/student July 11th – 12th: 10am – 12pm Ages 7 and up Jewelry Making Class $45/student Date June 22-23 Ages 8 and up Anime Art Class $110/student Date July 11th – 13th Ages 7 and up Get a High School Musical 2 Show T-Shirt! ($10) * Yes No Select High School Musical Shirt Size * Youth SmallYouth MediumYouth LargeAdult SmallAdult MediumAdult LargeAdult XL plus1 Add Another Student minus1 Remove Student Emergency Contact Information Emergency Contact Name * First and Last Emergency Contact Phone Number * Permission Slip Please download the permission slip, fill it out, and bring it with you on the first day. DOWNLOAD HERE Photo and Video Release * Yes No Please ask on a case-by-case basis Does the instructor have permission to feature photos and/or videos of this student (never using full last name) on the studio bulletin board, website, Facebook page, and/or promotional items? Refunds:I understand that if I must drop out of the program up until 7 days before the start of the program, I will only receive a maximum of 85% of the original cost, per student due to processing fees. After this time, no refunds will be given. * I understand and agree. Total Cost This is the total cost for your camper and camp selections. Credit Card * Credit Card Card Number Card Number Expiration Month Month 123456789101112 Expiration Month Expiration Year Year 20242025202620272028202920302031203220332034 Expiration Year CVC Number CVC Number Billing Address * Billing Address Street Number Street Number Apartment Number Apartment Number City City State/Province AlabamaAlaskaArkansasArizonaCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaOhioOklahomaOregonPennsylvaniaRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahVermontVirginiaWashingtonWest VirginiaWisconsinWyoming State/Province Zip/Postal Zip/Postal If you are human, leave this field blank. Submit
