Stage Combat (ages 14-18)

Camper Information

• * First Name:
• * Last Name:
• * Email Address:
• * Confirm Email Address:
• * DOB:
• * Address 1:
• * City:
• * State: --Choose-- Alabama Alaska Arizona Arkansas California Colorado Connecticut Delaware District of Columbia Florida Georgia Hawaii Idaho Illinois Indiana Iowa Kansas Kentucky Louisiana Maine Maryland Massachusetts Michigan Minnesota Mississippi Missouri Montana Nebraska Nevada New Hampshire New Jersey New Mexico New York North Carolina North Dakota Ohio Oklahoma Oregon Pennsylvania Rhode Island South Carolina South Dakota Tennessee Texas Utah Vermont Virginia Washington West Virginia Wisconsin Wyoming -------------- Alberta British Columbia Manitoba New Brunswick Newfoundland and Labrador Northwest Territories Nova Scotia Nunavut Ontario Prince Edward Island Quebec Saskatchewan Yukon Territory
• * ZIP Code:
• *

  Gender:

  • M
  • F
• *

  *** This is a 1 day workshop that meets on Saturday, April 15***

  • Got it!

• Fee

  Type	Fee
  Event fee	$55.00

Additional Camper Information

You may add a maximum of 5

Parent Information

• * Parent Name:
• * Parent Phone:
• * Where did you hear about this event? (Please be as specific as possible)
   characters remaining
• *

  Is text messaging a good way to contact you using this number?

  • Yes
  • No
• * Parent's Employer (for grant purposes)
• * Parent's Employer (for grant purposes)
• *

  I understand the only way to guarantee my spot in this camp is to complete the entire registration process, including payment. This spot can also be held by contacting the office (by phone or email) to make a deposit or payment arrangement. ArtsView has discovered this registration system will allow others to register for unpaid spots. ArtsView cannot guarantee my spot is secure until I at least contact the office about a payment agreement. Fee Assistance MUST contact ArtsView to secure spot.

  • I understand

Custom Information 1

• * Age of child at the start of camp
• * What School does the child attend?