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THEATER ARTS CIRCUS CAMP REGISTRATION
For children ages 8-14
At Ed Smith School in Syracuse

Fill out this form and send it in NOW
* - Required

Name(s): -

Date(s) of Birth : - Grade (Fall 2010): -

* Parent name:

Street address:

City: State: Zip:

* Parent phone number: - and * Email:

Please enroll in:
- Session I - July 6 ~ 16 - Performance on July 17
Or / And

- Session II - July 19 ~ 30 - Performance on July 31


T-shirt size:
Child: S - M - L - / Adult: S - M - L - XL -

Tuition: $ 300.00 (Circus T-shirt included, ~ additional T-shirt orders $10 each)
Deposit: $100 (non-refundable deposit required in order to hold space in camp)

Additional comments or questions. Anything special you'd like?

We will get back to you with information and to clarify any details.