PLEASE COMPLETE AND SUBMIT THIS FORM TO REGISTER FOR A SUMMER PROGRAM:

A non-refundable deposit of $200 is due upon registration to secure a place for each camp program.
The first 40 campers will be accepted.
The balance of your payment is due by June 1, 2008.  All prices include a camp T-shirt.
Showcases will be performed at the end of each session.
All monies are non-refundable.
Full Day session run 9:00-3:30.  Half day sessions run 9:00-12:00 or 12:00-3:30.
Early drop off (begins at 8:00 am) or late pickup available (until 5:00 pm). 

First Session FULL PRICE, each additional SAVE $100!

SELECT PROGRAM(S) BELOW:
 

Curtain Call    •     Triple Threat Audition Workshop     •     Triple Threat Conservatory 
The Actor’s Theatre Project     •    That's Entertainment
Creative Expressions     Half Day   Full Day    

Parent/ Guardian Name:
Street Address:
City:
State:
Zip:
Email address:
Home Phone:
Work/Cell Phone:

Emergency Contact Name/Phone:

Camper’s  Name:
Age (Sept’07):
Sex: Male   Female 
Birth Date:
Grade (Sept ’07):
T-shirt size Youth: S   M   L         Adult: S   M  L   XL
Physician’s name:
 Physician’s number:
Allergies/Medication:
Early drop off: Yes   No
Late day pick-up Yes    No
I give my child permission to be driven by a responsible adult for camp functions Yes    No
I agree to have my child attend camp and be at all rehearsals. (type name):

PAYMENT INFORMATION:

Total Due:
Check Number:
VISA/MASTERCARD:
Exp Date:

 A $20 Registration Fee will be charged for all credit card processing!!
Checks made payable to : “Stagestruck”  Please send payment to:
Stagestruck, 1790 Springfield Ave. New Providence, NJ 07974

Stagestruck Performing Arts Studio • 1790 Springfield Ave. • 1st Floor • New Providence, NJ 07974 • (908) 464-5916