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* 1. Student name and contact

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* 2. Parent Contact Information

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* 3. Please Provide us with at least 1 other emergency contact name and number

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* 4. Student's Age

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* 5. Student's Gender

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* 6. Has student participated in Pistarckle Theater camps, after school or productions in the past?

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* 7. The Camp will operate from July 30 - August 24, 2018 from 9am to 3pm, M-Th. As spots for this camp are limited, you must agree that by signing up for this camp and accepting a spot that you will attend all sessions as part of the team. 

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* 8. This camp is a mix of academic creative writing and study and presentation. It is not an acting class. I will have independent work, rewrites at home and be a key team player in putting together the showcase. 

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* 9. What School will the student attend in September 2018?

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* 10. In order to complete the pre-registration process, I understand that I must complete the permissions and attestations form, which is listed as Playwright/Leadership registration part 2 and student Baseline, which is Playwright/Leadership registration 3. I must complete each question on those part 2 and 3 forms. Once both are received, someone from Pistarckle Theater will contact me to complete the enrollment/payment process.

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