REGISTRATION FORM
(For All Programs) three steps to gregister

PROVIDENCE HIGH ARTS SUMMER ACTING CAMP

SOLD OUT!

REGISTER NOW TO BE ADDED TO OUR WAITING LIST:

If you’d like to be added to our waiting list, register now and we’ll contact you by phone. If we can’t fit you in, we will refund your $100 deposit.

To register, complete steps 1 through 3, making sure to select ‘Summer Acting Camp Burbank’ as your program. Once we receive your completed forms and payment, we’ll send you a confirmation via email which will include your balance due.

Thanks so much for your interest!

Registration Form and full payment must be received by day 1 of selected program.

*An individual form must be filled out for each student enrolling.

Student Information
Select Your Program(required)
Student's Name(required)
boy or girl(required)
Student Email (optional)
Birth date(required)
Age(required)
Shirt Size(required)
Pant Size(required)
Shoe Size(required)
School(required)
Grade(required)
City(required)
Special Talents
Previous Training (if any)
Parent/Guardian Information
Parent/Guardian Names(required)
Address(required)
Apt#
City(required)
Zip(required)
Work Phone(required)
Home Phone(required)
Cell Phone(required)
Email(valid email required)
Class / Conflict Information - Review program details for scheduling information.
Conflicts
How did you hear about us?
Special Comments
Enter code

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Almost done!
Next step: Click Register Now then make your payment to reserve your spot.

[$100 deposit per child for Summer Camp OR $120 per session per child for the Young Actor's Exploration Series].