Musical Theater Intensive Special Pricing Registration

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Camper's Name*

First Last

Parent/Guardian's Name*

First Last

Grade*

Entering in 2024-2025 school year.

T-Shirt Size*

Camper's Date of Birth*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

Emergency Contacts

Emergency Contact #1 Name*

First Last

Relation to Camper*

Emergency Contact #1 Phone*

Emergency Contact #2 Name*

First Last

Relation to Camper*

Emergency Contact #2 Phone*

Allergy/Medical Disclosure

Does your child have an allergy that requires the use of an Epi Pen or a device designed for self-administered asthma treatment (not necessarily Epinephrine)?*

Yes

My child is allergic to:*

Check all that apply from the choices below*

An Epinephrine injector has been prescribed for my child.

A device designed for self-administered emergency treatment (not necessarily Epinephrine) has been prescribed for my child.

My child has one of the above-referenced devices and has received adequate training on how and when to use their device, and can use it properly in case of an emergency.

My child has one of the above-referenced devices but has not received adequate training on how and when to use their device, and can not use it properly in case of an emergency.

No device(s) similar to those mentioned above has been prescribed for my child.

Any medical, emotional, or special needs you would like us to be aware of:

Select Your Camp(s)

MTI (Base)

Legally Blonde

July 1–July 20 (closed July 4)
9:30am-3:30pm
Performances July 19 & July 20

Seussical

July 22–August 10
9:30am-3:30pm
Performances August 10 & August 11

Measurements

Click here for a guide on measuring for costumes.

Chest/Bust*

Waist*

Hip*

Height*

Approx.Weight*

Dress/Shirt Numerical Size*

Pant Size (Numerical)*

Agreements

May we use photographic images and sound bytes of your child for promotional material?*

Yes

How did you hear about Musical Theater Intensive?

Friend or Family Member

Previous Attendee of Musical Theater Camp

elefantemusic.com

Social Media

Google Search

Other

Payment

Discount Code

Enter your discount code here.

Total

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Credit Card*

American Express

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MasterCard

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Card Number

Expiration Date

Security Code Cardholder Full Name

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Click Register ONLY ONCE. Do not refresh your browser or click the Back button. If you click REGISTER and receive an error message, email camps@elefantemusic.com (rather than registering again, as in many cases we will still receive your registration).