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Camp Broadway (Ages 5 & Up)
Dates: January 2nd - 6th (Tuesday thru Saturday
Times: 10am - 4pm
Fee: $225
Performance: TBA
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Name of Student(s)
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Age/Grade
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Parent(s) Name
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Email Address
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Only include an email address if it is checked regularly. We’ll assume that we can use the email address to notify students and parents of changes to the schedule, etc. on short notice.
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Street Address
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City
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State
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Zip Code
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Phone
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Cell Phone (for Urgent Messages)
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School that Student Attends
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Are You Willing to Car Pool?
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Emergency Contact (if parent is not available). Include Name and Phone Number
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