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Triumvirate Theatre Summer Drama Camp Registration

Full Name Would Like to Attend: Soldotna Camp Nikiski Camp

Grade The grade you are going into this fall

Age
Phone Number
Email Address
Parent or Guardian Work Phone

Address

Parent or legal guardian

 
Address

(If different than above)

Emergency Contact
Name
Phone
Relationship
Work Phone
Medical Information
Doctor
Allergies
Please list any medical problems we should know about

Note: We are not authorized to administer any medications.

By clicking submit you agree to the following:
I agree to come, participate and respect the buildings and property that have been donated for the purposes of this drama camp. I further agree to follow the established rules set up by the coordinators of this camp.