Breakfast Shows
Camp Registration Form
If enrolling more than one child, please submit this form for each child
Students Name Last: First:
Parents Name Last: First:
Address: City: State: Zip:
Home Phone: Work Phone: Cell Phone:
Parent's Email Address:
Students Birthday: Month: January February March April May June July August September October November December Day: 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22 23 24 25 26 27 28 29 30 31 Year: 1988 1989 1990 1991 1992 1993 1994 1995 1996 1997 1998 1999 2000 2001 2002 2003 2004 2005
Students Grade: Pre-School Kindergarten 1 2 3 4 5 6 7 8 9 10 11 12 School Currently Attending:
Child T-shirt size: Small Medium Large Extra Large
Adult T-shirt size: Small Medium Large How You Found Us: (Choose One) Friend Magazine Newspaper Other
Information related to allergies, medications, and/or special needs or physical challenges:
Camp Wee Wanna Be! Musical Theatre - Ages 4-6 Stageworkz, Millersville, MD - Monday - Friday 9:00am - 12:00pm First day of each session starts at 8:30am for Orientation
(Choose One) Session I June 15 - June 19, 2009- $195.00 Session II June 22 - June 26, 2009- $195.00 Both Session I and Session II- $295.00
1 Session $170.00 plus $25.00 registration fee* 2 Sessions $270.00 plus $25.00 registration fee*
Camp Gonna Be! Musical Theatre - Ages 7-15 Stageworkz, Millersville, MD - Monday - Friday 9:00am - 3:00pm First day of each session starts at 8:30am for Orientation
(Choose One) Session I - August 10 - August 14, 2009 - $285.00 1 Session $260.00 plus $25.00 registration fee* There will not be a second session this year 2 Sessions $410.00 plus $25.00 registration fee*
* Tuition due in full three weeks prior to session start * $100.00 deposit along with a one time $25.00 registration fee is required with all applications * The $25.00 registration fee is non-refundable
REFUND POLICY: All Refunds must be requested in writing. Refunds, minus the $25.00 registration fee per child, will be made up to month prior to Session Start Date (see above). ABSOLUTELY NO REFUNDS will be made after that date LIABILITY: NewStarz Enterprises is not liable for accident or injury sustained before during or after participation in summer program DISCLAIMER: NewStarz Enterprises Reserves the right to modify curriculum and/or special instructors as necessary LATE PICK-UP POLICY: A $10.00 fee will be assessed if a child is picked up more than 15 minutes after the program day has ended.
Please mail your Release Form (print and sign it), along with your deposit and registration fee of $125.00 (check or money order) payable to:
** New Address ** NewStarz Enterprises P.O. Box 973 - Millersville, Md. 21108
Print this page for your records, before you submit.
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