EmailMe Form - HTAC's 2024 SHOWSTOPPERS Enrollment Form

EmailMeForm

Camper's Name
First Last
Address

Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country / Region
Date of Birth
Grade
School
Parent's Name
First Last
Parent's Name
First Last
Email
Home Phone Number
### - ### - ####
Cell Phone Number
### - ### - ####
Work Phone Number
### - ### - ####
Emergency Contact Name
First Last
Emergency Contact Phone Number
### - ### - ####
I give my child permission to walk to lunch each day
Yes
No
Allergies
I will utilize the 8:30am Early Drop Off
Yes
No
Camp Package
Camp Package: Please Check
Three weeks: $1,425
Sibling Discount 10%
A three week minimum is required for registration.
Camp will Culminate with a performance on July 26th
A $200 non refundable deposit is due at the time of registration.
Credit Card

Card Number

Protected in vault Data collected via fields that have our security seal are encrypted and stored with the highest global security standard — PCI compliance. Your data is absolutely safe in Vault.
By checking this box I authorize HTAC to charge my card *
Agree
Haddonfield Theater Arts Center requires a Credit Card to be on file for all students. Payment for camp is due on the campers first day of camp.
By submitting this form I hereby state that:

1) I understand the payment policy of H.T.A.C.

2) I release all members of the Haddonfield Theater Arts Center staff and any other party involved in the organization and administration of Haddonfield Theater Arts Center from any liability as a result of any injury sustained in or around Haddonfield Theater Arts Center venue.
Image Verification

Please enter the text from the image:
[Refresh Image] [What's This?]

Camp Package

A $200 non refundable deposit is due at the time of registration.

Haddonfield Theater Arts Center requires a Credit Card to be on file for all students. Payment for camp is due on the campers first day of camp.