Summer 2023 Drama Camp Sign Up | LaGrange Piano Lessons

Parent/Guardian Name *

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Last *

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Email Address *

Phone Number *

Student Information

Student’s Name *

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Last *

Last

Birthdate *

Any Allergies *

Yes

No

Please list all allergies *

*

Stormsong

Once Upon a Western Time

Beauty and the Beast:

$250/student

Drama Club Times:
June 5th – 17th
Practice Times: 9am – 1pm

Show Times: June 16th & 17th
Camp and performances will
be held at Franklin Road Baptist Church
Ages 6 -16

Stormsong:

$90/student
Drama Club Times:
July 10-14
9am – Noon
Ages 13-18

Show Times: July 15th
Camp will be held at the LaGrange Piano Studio

Once Upon a Western Time:

$75/Student
Drama Club Times:
July 5-7
10am – Noon
Ages 6-12

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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?

Promo Code

Total Cost

This is the total cost for your camper and camp selections.

Credit Card *

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Billing Address *

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