Participant's Name *

First Name

Last Name

Parent's Name

First Name

Last Name

Phone *

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Additional Emergency Contact

First Name

Last Name

Additional Emergency Contact: Phone Number *

(###)

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Class Options *

Select the Class you would like to register for.

Creative Dramatics, 2nd-5th Graders, September 24th - Nov.12th, Tuesdays: 5pm-6:15pm.

PlayBuilding, 6th-10th Graders, September 24th-Nov.12th, Tuesdays: 6:30pm-7:45pm.

Would you like to be contacted regarding special needs or considerations for you or your child?

Yes

Payment Information *

Tuition must be paid prior to OR at the start of each session. CHECK- Checks should be made out to the "Graham Johnson Cultural Arts Endowment" with "Firebox Theatre" in the memo line. They may be brought to the first day of Camp. Checks may also be dropped off during business hours at The Cotton Company front desk for Firebox Theatre. CARD- You may pay tuition with your card in-person at the theatre. Please note that a CC processing fee will be added. This may be done before class on the first day of the session. Please arrive early. We are a small theatre and will close enrollment of a class once our capacity has been reached. By registering your child, you are committing to be a part of the camp. If your plans change, please notify the theatre asap so that we may open up that spot for another child. Refunds will be given only if we can fill the vacated spot from a waiting list. We reserve the right to cancel camp if enrollment is insufficient. In that event, all tuition will be refunded. Thank you!

I have read the registration policy and understand the payment options.