ONLINE REGISTRATION
.
Child's Name.
Age
Name of Parent(s) Or Guardians
Town
Streeet Address
Zip
Home Phone
Does your child have any allergies or limitations we should be aware of, or any other information we should know.
Cel Phone / Work Phone
SUMMER STAGE
Emergency Contact Information
Name
Name
Phone
Phone
Alternative Pick-Up
Will your child require medication during the program day.
SILLY STORIES
June 25 - July 6
For Ages 8-11
Cost $350
Beauty and the Beast  jr.
July 30- Aug 17
For Ages 12-17
Cost $450
SHAKESPEARE
For Ages 12-17
July  9 - 27
Cost $450
Special Two Session Rate
$750
E-MAIL.
Session One                   Session Two                      Session Three           Session One & Two
I acknowledge Summer Stage may use photographs of the Students in the camp day in their promotional materials. Please Check