Summer Camp 2013 Registration form

Summer Camp 2013 for ages 7-14- circle camps you are requesting

Aladdin – June 17- 28         Willy Wonka – July 8-19

Music Man Jr. – July 22- August 2

All Show camps are 2 weeks – 9:00AM – 4:30PM – Tuition $375.00

Audition /Monologue camp – 6/10-14 – 1 week – Tuition $187.50

Camper’s Name_____________________________  Age _____

Parent’s Name______________________________________________

Phone Number_____________________________________________

Address___________________________________________________

City/State/Zip _______________________________________________

Email_____________________________________________________

Deposit to hold camp $50.00 ________________ date/credit or check #

Balance due __________________________________

Payment information:

Credit card – # _________________________________________

Expiration ___________________   3 digit # on back _______________

Check # ________________________________

Confirmation via email date _______________    T-Shirt – ___  Size __

Audition/ Monologue – 9- 4:30P – June 10 – 14 – 1 week Aladdin – 9 – 4:30P- June 17-28  – 2 week Willy Wonka – 9 – 4:30P – July 8 – 19 –2 weeks Music Man Jr.   – 9 – 4:30P – July 22 – August 2 – 2 weeks Camp shows – all on Friday at 6:30 PM: Aladdin – 6/28/13 Willy Wonka – 7/19/13 Music Man Jr. – 8/2/13

Mail to:  Summer Camp, City Theatre, 4025 31st Street So., St. Petersburg, FL 33712