Fields marked with an asterisk (*) are required.
Parent's Name *
Student's Name *
Student's Grade - Fall 2017 *
Street Address *
City:*
State: * Zip: *
Parent's Email *
Home Phone
Cell Phone
I am registering for: *
Summer Stage Kids Regular Day Camp - $420 (9 a.m. to 2 p.m.)Summer Stage Kids Regular Day Camp + Extended Day Care - $520 (9 a.m. to 3 p.m.)
Check below if you give Facetime Theatre permission to take photographs and/or video of your child which may be used in future online and print promotional materials. Yes I give Facetime permission to take photo and/or video of my child to use in future online and print promotional materials.
Additional Comments or Questions:
(Upon submission you should be redirected to the Summer Stage Kids Registration Page to make your payment. If you are not, please return to the registration page to send in your payment. Your registration is not complete until we receive your form and your payment. Thank you.)