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.
FUNTASTIC FABLES
July 1 - July 12
For Ages 7-11
Cost $375
SUESSICAL
Musical Session
Aug 5 - Aug 23
For Ages 11-17
Cost $475
TREASURE ISLAND
July 15- Aug 2
For Ages 11-17
Cost $475
Special Two Session Rate
$800
E-MAIL.
PAYMENT SHOULD BE MADE 
AT THE FIRST CLASS
Checks are payable to Dean Calusdian.
T-Shirt Size 
​Cost $750
​Cost $750
Session One YOUTH Session Two ACTING Session Three MUSICAL Session Two & Three
I acknowledge Summer Stage may use photographs of the Students in the camp day in their promotional materials. Please Check
Session One & Two
Session One & Three