Division of Theatre

Summer Camp Waitlist

Student Information

Student's Legal Name *

How the student's name appears on their birth certificate.

Date of Birth *

Age *

Cell Phone *

Email *

High School *

Theatre Director's Name

Theatre Director's Email

What path would you like to take? *

The Performer

The Technician

Name *

Relationship to Student *

Phone *

Email *

If you happen to see this, do not fill this field.